Active NPI
Yetta Johnson
- Home Health Aide
- Dallas, TX
National Provider Identifier
1114434065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 19002 Dallas Pkwy Apt 1838
Dallas, TX 75287-3160 - Phone
- (214) 931-4595
- NPI assigned
- Jan 1, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
19002 Dallas Pkwy Apt 1838
Dallas, TX 75287-3160
Mailing address
19002 Dallas Pkwy Apt 1838
Dallas, TX 75287-3160
Phone (214) 931-4595
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 081097943 | Other | TX | DUNS NUMBER |
Other names 1
- Ms. Yetta Johnson
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johnson Health Services LLC | Home Health Aide | 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": "1514764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615420800000",
"number": "1114434065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19002 DALLAS PKWY APT 1838",
"city": "DALLAS",
"state": "TX",
"postal_code": "752873160",
"telephone_number": "214-931-4595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19002 DALLAS PKWY APT 1838",
"city": "DALLAS",
"state": "TX",
"postal_code": "752873160",
"telephone_number": "214-931-4595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "YETTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-01",
"last_updated": "2021-03-11",
"certification_date": "2021-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DUNS NUMBER",
"identifier": "081097943",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "YETTA",
"last_name": "JOHNSON",
"prefix": "MS.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.