Elmira Louise Johnson

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

109 S Willow St
Pauls Valley, OK 73075-3833

Phone

(405) 238-7311

Fax

(405) 238-3530

NPI assigned

Sep 11, 2019

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1326697459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635",
            "city": "PAULS VALLEY",
            "state": "OK",
            "postal_code": "730750635",
            "telephone_number": "405-207-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 S WILLOW ST",
            "city": "PAULS VALLEY",
            "state": "OK",
            "postal_code": "730753833",
            "telephone_number": "405-238-7311",
            "fax_number": "405-238-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ELMIRA",
        "middle_name": "LOUISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James R Ward, Family Dentistry, PC
• Jamie L. Means, DDS, PLLC
• Jee Hun Jang, DO
• JHL Enterprises
• Brandy M Johnson, M.S.
• Anthony Johnston
• Jonas Sprowls
• Caleb Jones, DPT
• Charles K Jones, M.D.
• Larry D Jones, OD

• Peer Specialist in Pauls Valley, OK
• Providers in Pauls Valley, OK by specialty
• Peer Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.