Carolyn Johnson, MSN, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP140535 Issued in TX

Practice address

1910 Roseland Blvd
Tyler, TX 75701-4246

Phone

(903) 533-0644

NPI assigned

Feb 8, 2019

Last updated

Nov 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Neurology Institute of Kerrville PLLCGroup PAC ID 3678937687, 10 clinicians

Multigroup Physician Practice of TexasGroup PAC ID 1557591971, 14 clinicians

Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

MPP Infusion Center of Tyler LLCGroup PAC ID 5496019507, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus Mother Frances Hospital Hospital, Tyler, TX, CCN 450102

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cjohnson458103@christushealth.direct-ci.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Christus Trinity Clinic Texas

  dba Christus Trinity Clinic

  • Family Medicine Physician
  • Tyler, TX
  • NPI 1285684225
  Medicare reassignment Care Compare group NPD
• MPP Infusion Center of Tyler LLC

  • Infusion Therapy Clinic/Center
  • Tyler, TX
  • NPI 1952812109
  Medicare reassignment Care Compare group NPD
• Multigroup Physician Practice of Texas

  • Infusion Therapy Clinic/Center
  • Dallas, TX
  • NPI 1174953194
  Medicare reassignment Care Compare group NPD
• Neurology Institute of Kerrville PLLC

  dba VIVO Infusion Boerne

  • Neurology Physician
  • Kerrville, TX
  • NPI 1467107706
  Medicare reassignment Care Compare group NPD
• Suzanne K. Gazda, MD, PLLC

  • Neurology Physician
  • San Antonio, TX
  • NPI 1710949698
  Medicare reassignment NPD
• Total Point - Desoto LLC

  dba Total Point Primary & Family Care

  • Family Medicine Physician
  • Lindale, TX
  • NPI 1104590330
  Medicare reassignment NPD
• Christus Trinity Clinic Texas

  dba Christus Trinity Clinic

  • Rural Health Clinic/Center
  • Winnsboro, TX
  • NPI 1801673165
  NPD
• R. Braden Neiman, MD PA

  • Neurology Physician
  • San Antonio, TX
  • NPI 1043412455
  NPD (past)
• Southwest Texas Two Medical Group, PLLC

  • Primary Care Clinic/Center
  • Houston, TX
  • NPI 1659950475
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mother Frances Hospital Regional Health Care Center

  dba Christus Mother Frances Hospital Tyler

  • General Acute Care Hospital
  • Tyler, TX
  • NPI 1679578439
  Care Compare affiliation

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1114482569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 ROSELAND BLVD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757014246",
            "telephone_number": "903-533-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 ROSELAND BLVD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757014246",
            "telephone_number": "903-533-0644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3405 S Main St",
            "address_purpose": "LOCATION",
            "city": "Lindale",
            "state": "TX",
            "postal_code": "757717749",
            "country_code": "US",
            "telephone_number": "903-881-3175",
            "fax_number": "903-881-3176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3201 S Loop 256 Ste 200",
            "address_purpose": "LOCATION",
            "city": "Palestine",
            "state": "TX",
            "postal_code": "758016913",
            "country_code": "US",
            "telephone_number": "903-723-0330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CAROLYN",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-08",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailey Johnson
• Brandy D Johnson
• Brittany Marie Johnson, APRN
• Candace J Johnson
• Carolyn Johnson
• Chavaletta Johnson
• Christopher Harrell Johnson
• Courtney Johnson
• Crystal Duane Johnson, M.S.
• David Michael Johnson, O.D.

• Family Nurse Practitioner in Tyler, TX
• Providers in Tyler, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.