Individual provider Active NPI

Ryne Barker Johnson, FNP-C

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1245734011
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP137183 Issued in TX
Practice address
1575 S Main St
Fort Worth, TX 76104-4901
Phone
(817) 702-2407
Fax
(817) 702-7264
NPI assigned
Mar 19, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X F02180599 TX
Family Nurse Practitioner 363LF0000X AP137183 TX Primary

Addresses

Primary practice location

1575 S Main St
Fort Worth, TX 76104-4901

Mailing address

5321 Leyton Dr
McKinney, TX 75071-8676
Phone (972) 971-0534

Other practice location 1

5321 Leyton Dr
McKinney, TX 75071-8676
Phone (972) 971-0534

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180625001048 TX Practitioner - Nurse Practitioner 0547515090 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

4001 Worth St
Dallas, TX 75246-1608

5220 W University Dr
220 Baylor Scott and White Orthopaedic Trauma
McKinney, TX 75071-7074
Phone (469) 800-5220

821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200

Hospital & facility affiliations

  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Dallas, TX, CCN 453036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F02180599TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Single Specialty CurrentSince Dec 27, 2023 Accepting new patients
Healthtexas Provider Network Single Specialty CurrentSince Dec 27, 2023 Accepting new patients
Healthtexas Provider Network Single Specialty Current Accepting new patients
Century Integrated Partners, Inc Single Specialty CurrentSince Jan 1, 2019 Accepting new patients
Integrative Emergency Services Physician Group PA Single Specialty CurrentSince Aug 9, 2018 Accepting new patients

Locations

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

301 N Washington Ave
Dallas, TX 75246
Phone (469) 800-8330

3500 Gaston Ave
Dallas, TX 75246

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

1575 S Main St
Ft Worth, TX 76104
Phone (817) 702-8828

1500 S Main St
Fl 1
Ft Worth, TX 76104
Phone (817) 702-1451

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1245734011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5321 LEYTON DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750718676",
            "telephone_number": "972-971-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 S MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044901",
            "telephone_number": "817-702-2407",
            "fax_number": "817-702-7264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5321 Leyton Dr",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750718676",
            "country_code": "US",
            "telephone_number": "972-971-0534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RYNE",
        "middle_name": "BARKER",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-19",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F02180599",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.