Individual provider Active NPI

Shalonda Renee' Johnson, CPT, CPI

  • Clinical Medical Laboratory
  • Cypress, TX
National Provider Identifier
1326604778
Registry record updated Nov 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Practice address
20751 Cypress Crescent LN
Cypress, TX 77433-6513
Phone
(832) 983-1866
Fax
(844) 544-4514
NPI assigned
May 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X TX Primary

Addresses

Primary practice location

20751 Cypress Crescent LN
Cypress, TX 77433-6513

Mailing address

5600 NW Central Dr Ste 280
Houston, TX 77092-2065
Phone (346) 255-2192

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shalonda Renee Johnson Clinical Medical Laboratory CurrentSince Sep 20, 2020 Accepting new patients

Locations

5600 NW Central Dr
Ste 280
Houston, TX 77092
Phone (346) 255-2192

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1557446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604793600000",
    "number": "1326604778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 NW CENTRAL DR STE 280",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770922065",
            "telephone_number": "346-255-2192",
            "fax_number": "832-201-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20751 CYPRESS CRESCENT LN",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774336513",
            "telephone_number": "832-983-1866",
            "fax_number": "844-544-4514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHALONDA",
        "middle_name": "RENEE'",
        "name_prefix": "Mrs.",
        "credential": "CPT, CPI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-10",
        "last_updated": "2020-11-08",
        "certification_date": "2020-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.