Mitzie Johnson, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

146418 Issued in TX

Practice address

4200 South Fwy Ste 800
Ft Worth, TX 76115-1437

Phone

(817) 920-5750

Fax

(817) 920-5772

NPI assigned

Jun 23, 2014

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

State licenses

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403481600000",
    "number": "1144635707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 SOUTH FWY STE 800",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761151437",
            "telephone_number": "817-920-5750",
            "fax_number": "817-920-5772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 SOUTH FWY STE 800",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761151437",
            "telephone_number": "817-920-5750",
            "fax_number": "817-920-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MITZIE",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2014-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "146418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melvin Johnson
• Michael Gabriel Johnson
• Michael Howard Johnson, PA-C
• Michelle Laurane Johnson, NP-C
• Mitchell Johnson
• Morgan Drew Johnson, LMSW
• Nannie Blanche Johnson
• Nicola Alexandra Johnson, LPC-I
• Nicole Johnson
• Onike A Johnson, RN

• Licensed Vocational Nurse in Ft Worth, TX
• Providers in Ft Worth, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.