Individual provider Active NPI

Darlene Michele Johnson, RN

  • Registered Nurse
  • Fort Worth, TX
National Provider Identifier
1356096135
Registry record updated Feb 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
809836 Issued in TX
Practice address
4937 Bellflower Way
Fort Worth, TX 76123-4621
Phone
(682) 256-4123
NPI assigned
Feb 19, 2022
Last updated
Feb 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X 809836 TX Primary

Addresses

Primary practice location

4937 Bellflower Way
Fort Worth, TX 76123-4621

Mailing address

4937 Bellflower Way
Fort Worth, TX 76123-4621
Phone (682) 256-4123

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address darlene.johnson@texasinnovationhealth.org

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
809836TXMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1645228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645228800000",
    "number": "1356096135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4937 BELLFLOWER WAY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761234621",
            "telephone_number": "682-256-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4937 BELLFLOWER WAY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761234621",
            "telephone_number": "682-256-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DARLENE",
        "middle_name": "MICHELE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-19",
        "last_updated": "2022-02-19",
        "certification_date": "2022-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "809836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "darlene.johnson@texasinnovationhealth.org",
            "affiliation": "N",
            "address_1": "4937 Bellflower Way",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761234621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2022; 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.