Active NPI
Ruth Alleen Johnson-Makalena, REGISTERD NURSE
- Case Management Registered Nurse
- San Antonio, TX
National Provider Identifier
1306509682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- 968240
- Practice address
- 10010 Rogers Xing Ste 100
San Antonio, TX 78251-4766 - Phone
- (210) 539-0919
- Fax
- (201) 539-0203
- NPI assigned
- Oct 14, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | 968240 | TX | Primary |
Addresses
Primary practice location
10010 Rogers Xing Ste 100
San Antonio, TX 78251-4766
Mailing address
3551 Roger Brook Dr.
Attn: McHe-ZDF-M
Jbsa-Fort Sam Houson, TX 78234
Phone (210) 539-0919
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 968240 | Other | TX | REGISTERED NURSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 968240 | TX | MD | Case Management Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634169600000",
"number": "1306509682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3551 ROGER BROOK DR.",
"address_2": "ATTN: MCHE-ZDF-M",
"city": "JBSA-FORT SAM HOUSON",
"state": "TX",
"postal_code": "78234",
"telephone_number": "210-539-0919",
"fax_number": "210-539-0203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10010 ROGERS XING STE 100",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782514766",
"telephone_number": "210-539-0919",
"fax_number": "201-539-0203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON-MAKALENA",
"first_name": "RUTH",
"middle_name": "ALLEEN",
"credential": "REGISTERD NURSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-14",
"last_updated": "2021-10-14",
"certification_date": "2021-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "TX",
"license": "968240",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED NURSE",
"identifier": "968240",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
- Gabriela Nicole Johnson Fabricio, FNP
- Andrea Chante Johnson Gauna, LPC-A
- Yajaira Johnson-Esparza, PHD
- Tashauna Tanae Johnson-Green
- Megan Johnson-Jackson, CERTIFIED HAIR LOSS
- Deborah R Johnson-Rosales
- Haason Tyrrell Johnson-Scott
- Stefanie Johnson-Sykes, FNP-C
- Abigail Marie Johnson, M.S. CF-SLP
- Alanna Johnson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.