Individual provider Active NPI

Tabatha C Johnson

  • Primary Care Nurse Practitioner
  • Rosenberg, TX
National Provider Identifier
1043677222
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP130052 Issued in TX
Practice address
1730 B F Terry Blvd Ste 302
Rosenberg, TX 77471-5535
Phone
(281) 633-0148
Fax
(281) 633-2298
NPI assigned
Jan 19, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X AP130052 TX Primary

Addresses

Primary practice location

1730 B F Terry Blvd Ste 302
Rosenberg, TX 77471-5535

Mailing address

1730 B F Terry Blvd Ste 302
Rosenberg, TX 77471-5535
Phone (832) 272-0201

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200326000167 TX Practitioner - Nurse Practitioner 0941639934 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC CurrentSince Feb 5, 2021 Accepting new patients
Vpa of Texas PLLC CurrentSince Feb 5, 2021 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Feb 5, 2021 Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

Interoperability endpoints

  • Direct secure messaging: tabatha.johnson.d1.p2@direct.alegiscare.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1043677222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 B F TERRY BLVD STE 302",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774715535",
            "telephone_number": "832-272-0201",
            "fax_number": "281-633-2298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 B F TERRY BLVD STE 302",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774715535",
            "telephone_number": "281-633-0148",
            "fax_number": "281-633-2298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TABATHA",
        "middle_name": "C",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-19",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP130052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosenberg, TX

Sources for this page

Verify at the official NPI Registry.