Active NPI
Monica Lynne Johnson, D.O.
- Allergy & Immunology Physician
- Schertz, TX
National Provider Identifier
1275509283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- S4162
- Practice address
- 3746 Schertz Pkwy
Schertz, TX 78154-2928 - Phone
- (210) 654-0944
- NPI assigned
- Feb 28, 2006
- Last updated
- Nov 20, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | S4162 | TX | Primary |
| Pediatrics Physician | 208000000X | 3309 | OK |
Addresses
Primary practice location
3746 Schertz Pkwy
Schertz, TX 78154-2928
Mailing address
536 Saddle Vis
Cibolo, TX 78108-3658
Phone (301) 752-1535
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140421001591 | NV | Order and Referring Only - Allergy/Immunology | 1153553441 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S4162 | TX | MD | Allergy & Immunology Physician |
| 3309 | OK | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574208000000",
"number": "1275509283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "536 SADDLE VIS",
"city": "CIBOLO",
"state": "TX",
"postal_code": "781083658",
"telephone_number": "301-752-1535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3746 SCHERTZ PKWY",
"city": "SCHERTZ",
"state": "TX",
"postal_code": "781542928",
"telephone_number": "210-654-0944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "MONICA",
"middle_name": "LYNNE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-28",
"last_updated": "2019-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "TX",
"license": "S4162",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OK",
"license": "3309",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Schertz, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.