Carrie Ann Johnson, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

540630 Issued in TX

Practice address

15190 Badger Ranch Blvd Ste 102
Woodway, TX 76712-8984

Phone

(254) 301-7166

Fax

(254) 824-3297

NPI assigned

Mar 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Caldwell-Johnson PLLC

  • Clinic/Center
  • Temple, TX
  • NPI 1730856733
  NPD Authorized official
• New Day Community Health Center

  • Primary Care Clinic/Center
  • Temple, TX
  • NPI 1912675802
  NPD Authorized official
• .Sunstar Geriatrics Healthcare PA

  • Geriatric Medicine (Internal Medicine) Physician
  • Georgetown, TX
  • NPI 1033151428
  NPD (past)
• C & K Nurse Practitioner Services, PC

  • Family Medicine Physician
  • Marlin, TX
  • NPI 1598707929
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1316071624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DOMINION DR",
            "city": "WOODWAY",
            "state": "TX",
            "postal_code": "767127556",
            "telephone_number": "254-346-4029",
            "fax_number": "847-221-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15190 BADGER RANCH BLVD STE 102",
            "city": "WOODWAY",
            "state": "TX",
            "postal_code": "767128984",
            "telephone_number": "254-301-7166",
            "fax_number": "254-824-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CARRIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "540630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Beth Jackson, LPC ASSOCIATE
• Kelly Janish, M.D.
• Jessica Deann Jefferson
• Jessica Pryor Counseling Services, LLC
• Brianna M. Johnson, M.S., CF-SLP
• Destiney Nichole Jones
• Sarah Jean Jordan
• Gabrielle V Keiser, RN, IBCLC
• Samer I Khoury, CCP
• Seoyoung Kim

• Family Nurse Practitioner in Woodway, TX
• Providers in Woodway, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.

Verify at the official NPI Registry.