Donna Marie Johnson, RNC, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

583042 Issued in TX

Practice address

540 W 5TH St
Suite 470
Odessa, TX 79761-5034

Phone

(432) 580-8330

Fax

(432) 580-8333

NPI assigned

Aug 24, 2005

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1124011275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6851 E COTTONWOOD",
            "city": "GARDENDALE",
            "state": "TX",
            "postal_code": "79758",
            "telephone_number": "325-721-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W 5TH ST",
            "address_2": "SUITE 470",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615034",
            "telephone_number": "432-580-8330",
            "fax_number": "432-580-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DONNA",
        "middle_name": "MARIE",
        "credential": "RNC, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-24",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "583042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John H. Doran,M.D., P.L.LC.
• Johnson Anesthesia Associates PA
• Alysia Johnson, NNP
• Annsleigh M Johnson
• Billy Johnson, LPC
• Melissa Johnson, CNM
• Shelbi Johnson
• Kenneth Mark Jolley, PTA
• Amy M Jones
• Biosha Branshaye Jones, MD

• Family Nurse Practitioner in Odessa, TX
• Providers in Odessa, 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 Mar 11, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.