Cynthia Gayle Johnson, APRN

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

216639 Issued in OK

Practice address

4330 SE 29TH St Ste 3018
Del City, OK 73115-3335

Phone

(405) 670-8100

NPI assigned

Feb 21, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Oklahoma Industrial Medicine LLC

  • Specialist
  • Del City, OK
  • NPI 1346012978
  NPD
• Northwest Arkansas Physical Ability Testing Center Inc

  • Physical Therapy Clinic/Center
  • Springdale, AR
  • NPI 1609381276
  NPD (past)

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1235762816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 CHESTNUT ST STE B",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729565340",
            "telephone_number": "479-262-2724",
            "fax_number": "479-262-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 SE 29TH ST STE 3018",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "731153335",
            "telephone_number": "405-670-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2010 Chestnut St Ste B",
            "address_purpose": "LOCATION",
            "city": "Van Buren",
            "state": "AR",
            "postal_code": "729565340",
            "country_code": "US",
            "telephone_number": "479-262-2724 x5006",
            "fax_number": "479-262-2727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4001 Wagon Wheel Rd",
            "address_purpose": "LOCATION",
            "city": "Springdale",
            "state": "AR",
            "postal_code": "727620137",
            "country_code": "US",
            "telephone_number": "479-725-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "812 West 2nd Court",
            "address_purpose": "LOCATION",
            "city": "Russellville",
            "state": "AR",
            "postal_code": "72801",
            "country_code": "US",
            "telephone_number": "479-219-5190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CYNTHIA",
        "middle_name": "GAYLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-21",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "123788",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "216639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James S Choe MD PLLC
• Dillon Trey Jarrett
• Jinny Ann 4 Corporation
• Joe L. Wright, D.D.S., Inc.
• Blair Johnson
• Shelly Johnson
• Matthew Tommy Jones
• Mellisia Jones
• Timothy D Jones Sr.
• Daniel Kelpine

• Family Medicine Physician in Del City, OK
• Providers in Del City, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.