Individual provider Active NPI

Rupert E Johnson, R.N. B.ED

  • Contractor
  • Stafford, TX
National Provider Identifier
1063590248
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
0074527 Issued in TX
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

Updated by the provider on Mar 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
0074527TXMDContractor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.