Angela S Johnson, RN, CNOR, RNFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

R065480 Issued in AR

Practice address

2006 Moores LN
Texarkana, TX 75503-1840

Phone

(903) 792-6944

Fax

(903) 792-6213

NPI assigned

Mar 7, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545955200000",
    "number": "1104124767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 MOORES LN",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755031840",
            "telephone_number": "903-792-6944",
            "fax_number": "903-792-6213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 MOORES LN",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755031840",
            "telephone_number": "903-792-6944",
            "fax_number": "903-792-6213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANGELA",
        "middle_name": "S",
        "credential": "RN, CNOR, RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-07",
        "last_updated": "2018-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "AR",
            "license": "R065480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerome Watson LLC
• John M Strayhorn MD PA
• Johns Family Chiropractic Corp
• Randall Johns, DC
• Jenisa Johnson-Keener
• Jami McRae Johnson, SLP
• Kathy Lorance Johnson, MS, LPC
• Olivia Ann Johnson, LCSW
• Tamika M Johnson, LPC
• Theresa Lea Johnson, FNP-C

• Registered Nurse First Assistant in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Registered Nurse First Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; 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.