Alicia Lenise Johnson, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

1940 Issued in TX

Practice address

1601 Main St Ste 210
Richmond, TX 77469-3230

Phone

(281) 342-8700

Fax

(832) 363-3438

NPI assigned

May 27, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr Johnson Foot Prints LLC

  • Podiatric Clinic/Center
  • Richmond, TX
  • NPI 1407102890
  NPD Authorized official
• Richard Kobylar, DPM

  • Podiatrist
  • Bay City, TX
  • NPI 1194764043
  Medicare reassignment
• Richard Scott Kobylar J C Tanenbaum DPM PA & Associates

  • Foot & Ankle Surgery Podiatrist
  • Bay City, TX
  • NPI 1013107853
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1013236256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15311 TRINITY MEADOW DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774892486",
            "telephone_number": "917-664-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MAIN ST STE 210",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774693230",
            "telephone_number": "281-342-8700",
            "fax_number": "832-363-3438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ALICIA",
        "middle_name": "LENISE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-27",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bindu Jith
• JL Bastian LLC
• Roger G Joe, MD, MBA
• Johad Healthcare Services Inc
• Johnson Counseling and Coaching Services, PLLC
• Brian Michael Johnson, D.D.S
• Crystal R Johnson, FNP
• Dedra Johnson
• Jasmine Elizabeth Johnson, M.S., ATC, LAT
• Joy Johnson

• Foot & Ankle Surgery Podiatrist in Richmond, TX
• Providers in Richmond, TX by specialty
• Foot & Ankle Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.