Robert Leroy Johnson

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

29 Tucker Rd
Hardy, AR 72542-9115

Phone

(870) 955-0972

NPI assigned

Feb 25, 2020

Last updated

Jun 10, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1053945352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 TUCKER RD.",
            "city": "HARDY",
            "state": "AR",
            "postal_code": "72542",
            "telephone_number": "870-955-0972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 TUCKER RD",
            "city": "HARDY",
            "state": "AR",
            "postal_code": "725429115",
            "telephone_number": "870-955-0972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROBERT",
        "middle_name": "LEROY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hardin Therapy Services
• Matthew Hardin, PTA
• Jennifer Lynn Hillis, APRN, FNP-C
• Christian Dawn Huffmaster, IBCLC
• Chasity Johnson
• Karen Ann Schadler (Karen's Fashions)
• Mishann Luedders-East, APRN-CNP
• James Young Massey, M.D.
• Tia K. Morris
• Bryan Scott Pollock

• Attendant Care Provider in Hardy, AR
• Providers in Hardy, AR by specialty
• Attendant Care Provider in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.