Active NPI
Betty Ann Johansen, RN,C,FNP
- Nurse Practitioner
- Denton, TX
National Provider Identifier
1003938606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 229039
- Practice address
- 3304 Colorado Blvd Ste 101
Denton, TX 76210-6872 - Phone
- (940) 566-2358
- Fax
- (940) 381-2613
- NPI assigned
- Apr 4, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 229039 | TX | Primary |
Addresses
Primary practice location
3304 Colorado Blvd Ste 101
Denton, TX 76210-6872
Mailing address
3304 Colorado Blvd Ste 101
Denton, TX 76210-6872
Phone (940) 566-2358
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 229039 | TX | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003938606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3304 COLORADO BLVD STE 101",
"city": "DENTON",
"state": "TX",
"postal_code": "762106872",
"telephone_number": "940-566-2358",
"fax_number": "940-381-2613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3304 COLORADO BLVD STE 101",
"city": "DENTON",
"state": "TX",
"postal_code": "762106872",
"telephone_number": "940-566-2358",
"fax_number": "940-381-2613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHANSEN",
"first_name": "BETTY",
"middle_name": "ANN",
"name_prefix": "Miss",
"credential": "RN,C,FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "229039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denton, TX
- Maria Tranquilina Jimenez, NP-C
- Shauna Marie Jimenez, LSA
- Jinny Yoon MD PA (Neuromusculoskeletal clinic)
- Jitendra N Bhatt, MD, PA
- Jo Anne Nowick Oliver, PA
- Alice Lilith Johansson, LMSW
- Erika Janice Johler, RDCS
- John Allen Van Wagoner M.D. P.a. (Southwest Allergy & Asthma Center)
- John D White DDS, Inc
- John R. Everett (Acoustic Hearing Solutions)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.