Individual provider Active NPI

Natalie Johnson, LVN

  • Licensed Practical Nurse
  • Lancaster, TX
National Provider Identifier
1285251645
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
300691 Issued in TX
Practice address
1322 Fairfield CT
Lancaster, TX 75134-4160
Phone
(214) 471-5391
NPI assigned
Jul 1, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 300691 TX Primary

Addresses

Primary practice location

1322 Fairfield CT
Lancaster, TX 75134-4160

Mailing address

1322 Fairfield CT
Lancaster, TX 75134-4160
Phone (214) 471-5391

Other identifiers 1

IdentifierTypeStateIssuer
500016353MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Other@janecapitalinvestmentgroup.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
300691TXMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1285251645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 FAIRFIELD CT",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751344160",
            "telephone_number": "214-471-5391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 FAIRFIELD CT",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751344160",
            "telephone_number": "214-471-5391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "NATALIE",
        "name_prefix": "Miss",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-01",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TX",
            "license": "300691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500016353",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Other@janecapitalinvestmentgroup.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "1322 Fairfield Ct",
            "city": "Lancaster",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751344160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lancaster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; 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.