NPIMap

Organization Active NPI

Melissa Ann Johnson, PLLC

  • Emergency Medicine Physician
  • Colleyville, TX
National Provider Identifier
1083026132
Registry record updated May 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
M4217 Issued in TX
Legal business name
MELISSA ANN JOHNSON, PLLC
Practice address
212 Polo TRL
Colleyville, TX 76034-7577
Phone
(817) 739-5391
NPI assigned
May 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2014

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

Authorized official

Name
Dr. Melissa Ann Johnson
Title
Physcian
Phone
(817) 739-5391

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207P00000X M4217 TX Primary

Addresses

Primary practice location

212 Polo TRL
Colleyville, TX 76034-7577

Mailing address

212 Polo TRL
Colleyville, TX 76034-7577
Phone (817) 739-5391

Other identifiers 1

IdentifierTypeStateIssuer
1659481224OtherTXNPI INDIVIDUAL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1400803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400803200000",
    "number": "1083026132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 POLO TRL",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760347577",
            "telephone_number": "817-739-5391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 POLO TRL",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760347577",
            "telephone_number": "817-739-5391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA ANN JOHNSON, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-23",
        "last_updated": "2014-05-23",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PHYSCIAN",
        "authorized_official_telephone_number": "817-739-5391",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "M4217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1659481224",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colleyville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2014; 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.