Individual provider Active NPI

William Talbot Johnson, FNP-BC

  • Family Nurse Practitioner
  • Spring, TX
National Provider Identifier
1063797298
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP120283 Issued in TX
Practice address
15882 Champion Forest Dr
Spring, TX 77379-7141
Phone
(281) 809-6615
NPI assigned
Oct 19, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 741383 TX
Family Nurse Practitioner 363LF0000X AP120283 TX Primary

Addresses

Primary practice location

15882 Champion Forest Dr
Spring, TX 77379-7141

Mailing address

16107 Kensington Dr Ste 126
Sugar Land, TX 77479-4224
Phone (281) 201-0657

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
I20111230000268 TX Practitioner - Nurse Practitioner 0547436255 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DCS Medical PA CurrentSince Jan 27, 2022 Accepting new patients
DCS Medical PA CurrentSince Jan 27, 2022 Accepting new patients
Next Level MV LLC CurrentSince Nov 1, 2017 Accepting new patients
Nluc PLLC CurrentSince Feb 10, 2014 Accepting new patients
Next Level MV LLC CurrentSince Nov 1, 2017 Accepting new patients
Nluc PLLC CurrentSince Feb 10, 2014 Accepting new patients
Nluc PLLC Dba Next Level Urgent Care Past Accepting new patients

Locations

7710 Garth Rd
Ste A
Baytown, TX 77521

3201 University Dr E
Ste 135
Bryan, TX 77802
Phone (979) 703-1832

1246 N FM 3083 Rd W
Ste B
Conroe, TX 77304

8350 Fry Rd
Ste 400
Cypress, TX 77433

8325 Broadway St
Ste 220
Pearland, TX 77581
Phone (281) 873-8162

5211 FM 2920 Rd
Ste 101
Spring, TX 77388

15882 Champion Forest Dr
Spring, TX 77379
Phone (281) 809-6615

16107 Kensington Dr
Sugar Land, TX 77479
Phone (713) 513-7388

16312 Southwest Fwy
Ste 18
Sugar Land, TX 77479

Organizations & group practices 7

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": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1063797298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16107 KENSINGTON DR STE 126",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774794224",
            "telephone_number": "281-201-0657",
            "fax_number": "281-336-0764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15882 CHAMPION FOREST DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773797141",
            "telephone_number": "281-809-6615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "WILLIAM",
        "middle_name": "TALBOT",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-19",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "741383",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP120283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.