Active NPI
Rupert E Johnson, R.N. B.ED
- Contractor
- Stafford, TX
National Provider Identifier
1063590248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 0074527
- Practice address
- 4800 Sugar Grove Blvd
Ste. 290
Stafford, TX 77477-2635 - Phone
- (281) 207-5338
- Fax
- (281) 207-5339
- NPI assigned
- Nov 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 0074527 | TX | Primary |
Addresses
Primary practice location
4800 Sugar Grove Blvd
Ste. 290
Stafford, TX 77477-2635
Mailing address
10101 Southwest Fwy
Ste. 400
Houston, TX 77074-1126
Phone (281) 207-5338
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0074527 | TX | MD | Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rupert E. Johnson | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Durable Medical Equipment & Medical Supplies
- Stafford, TX
- NPI 1508036211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204675200000",
"number": "1063590248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10101 SOUTHWEST FWY",
"address_2": "STE. 400",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770741126",
"telephone_number": "281-207-5338",
"fax_number": "281-207-5339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 SUGAR GROVE BLVD",
"address_2": "STE. 290",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774772635",
"telephone_number": "281-207-5338",
"fax_number": "281-207-5339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "RUPERT",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "R.N. B.ED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2008-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "TX",
"license": "0074527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stafford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.