Leondra Johnson

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Practice address

417 S Chestnut St Ste 107
Lufkin, TX 75901-0830

Phone

(936) 219-8699

NPI assigned

Dec 15, 2022

Last updated

Dec 20, 2022By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gifted Touch LLC Medical Wigs

  • Prosthetic/Orthotic Supplier
  • Lufkin, TX
  • NPI 1780396291
  NPD Authorized official

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

{
    "created_epoch": "1671062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1386356988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 S CHESTNUT ST STE 107",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759010830",
            "telephone_number": "936-219-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 S CHESTNUT ST STE 107",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759010830",
            "telephone_number": "936-219-8699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LEONDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-15",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROSTHETIC/ORTHOTIC SUPPLIER",
            "identifier": "335E00000X",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn Suell Johnson
• Jena Lynn Johnson, MSN, APRN, FNP-C
• Jerry L Johnson, MD
• Kechera Johnson
• Kimberly Darnae Johnson, RN
• Luke Johnson, M.D., M.P.H.
• Nelda Johnson, RNNP
• Ryan D Johnson, CRNA
• Timothy Johnson, PA
• Woody Johnson, CPO

• Prosthetic/Orthotic Supplier in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Prosthetic/Orthotic Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.