Deandra Rachel Johnson-Egesi, RN

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

971600 Issued in TX

Practice address

19126 Mossy Hedge LN
Katy, TX 77449-4133

Phone

(832) 408-0556

NPI assigned

Jun 25, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• 2ND Home Residential and Support LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Katy, TX
  • NPI 1740131457
  NPD Authorized official
• That 1 Home

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Katy, TX
  • NPI 1114769130

  Administrator

  NPD Authorized official

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1093559932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19126 MOSSY HEDGE LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774494133",
            "telephone_number": "832-408-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19126 MOSSY HEDGE LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774494133",
            "telephone_number": "832-408-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON-EGESI",
        "first_name": "DEANDRA",
        "middle_name": "RACHEL",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-25",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "TX",
            "license": "971600",
            "primary": false
        },
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "TX",
            "license": "971600",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TX",
            "license": "971600",
            "primary": true
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "TX",
            "license": "971600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Freeman MD, DDS, PA
• John West Industrial Rehab LLC
• Jessica Johns-Green, LPC
• Keeshaw Johnson Agnew
• Johnson Chiropractic LLC
• Amber Johnson
• Arlyn Johnson, IBCLC
• Asia Deann Johnson
• Barbara L. Johnson, LPC, NCC
• Bennett Johnson

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Katy, TX
• Providers in Katy, TX by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.