Christine Donna Johnson, ANP BC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

R123606 Issued in MD

Practice address

3551 Roger Brooke Dr
Department of Pediatrics/Adolescent Medicine
Fort Sam Houston, TX 78234-4504

Phone

(210) 916-3160

Fax

(210) 808-2345

NPI assigned

Aug 21, 2008

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

Other identifiers 1

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": "1219276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315785600000",
    "number": "1194972182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 SCHOFIELD RD",
            "address_2": "BLDG 1179",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782347577",
            "telephone_number": "210-916-3160",
            "fax_number": "210-808-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "address_2": "DEPARTMENT OF PEDIATRICS/ADOLESCENT MEDICINE",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-916-3160",
            "fax_number": "210-808-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHRISTINE",
        "middle_name": "DONNA",
        "name_prefix": "Mrs.",
        "credential": "ANP BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-21",
        "last_updated": "2011-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R123606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING LICENSE",
            "identifier": "R123606",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harvey Jeunesse, DO
• Sean Jongjin Jin, MD
• Erin Shae Johns, M.S.
• Anthony Eugene Johnson, MD
• Brett Daniel Johnson, DMD
• Elizabeth Harmony Johnson, PSYD, MBA,
• Jessica K Johnson, APNP
• Megan Waldron Johnson, DO
• Peter Christian Johnson, M.D.
• Rasheedah Johnson

• Primary Care Nurse Practitioner in Fort Sam Houston, TX
• Providers in Fort Sam Houston, TX by specialty
• Primary Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; 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.