Rosa Lee Johnson, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

127603 Issued in TX

Practice address

6805 Iola Ave
Lubbock, TX 79424-2939

Phone

(806) 939-3561

NPI assigned

Apr 29, 2021

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1366025181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6805 IOLA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242939",
            "telephone_number": "806-939-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6805 IOLA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242939",
            "telephone_number": "806-939-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROSA",
        "middle_name": "LEE",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "127603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Johnson, MAT, LAT, ATC
• Monique Johnson, OTR/L
• Pamela Johnson, PTA
• Patricia May Johnson, LPC
• Robert Ory Johnson, M.D.
• Sabrina Isabel Johnson
• Sharon Anne Johnson, NP
• Stephanie Jill Johnson, PH D, LCSW
• Tayla Ashton Johnson, OTR
• Taylor Johnson, CRNA

• Licensed Vocational Nurse in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.

Verify at the official NPI Registry.