Individual provider Active NPI

Erica Dena Johnson, LT

  • Adult Care Home Facility
  • Houston, TX
National Provider Identifier
1386207298
Registry record updated Nov 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Practice address
11810 Hammond Dr Apt 606
Houston, TX 77065-3866
Phone
(346) 244-8528
NPI assigned
Apr 16, 2019
Last updated
Nov 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU
Adult Care Home Facility 311ZA0620X NU Primary
Substance Abuse Rehabilitation Facility 324500000X NU

Addresses

Primary practice location

11810 Hammond Dr Apt 606
Houston, TX 77065-3866

Mailing address

1206 Mayweather LN
Richmond, TX 77406-2329
Phone (346) 325-3002

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

NPI Registry JSON

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606521600000",
    "number": "1386207298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 MAYWEATHER LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774062329",
            "telephone_number": "346-325-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11810 HAMMOND DR APT 606",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653866",
            "telephone_number": "346-244-8528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ERICA",
        "middle_name": "DENA",
        "credential": "LT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-16",
        "last_updated": "2020-11-28",
        "certification_date": "2020-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.