Nichole Kay Johnson, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

M6638 Issued in TX

Practice address

4001 W 15TH St
Ste 100
Plano, TX 75093-5841

Phone

(214) 463-7671

Fax

(214) 473-7680

NPI assigned

May 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Previously, effective Aug 20, 2024 through Aug 20, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Healthtexas Provider Network

  • Family Medicine Physician
  • Plano, TX
  • NPI 1003811639
  NPD (past)
• Premier Provider Health PA

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1235280496
  NPD (past)
• Renovo Wound and Hyperbarics PLLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Lewisville, TX
  • NPI 1629683602
  NPD (past)

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470873600000",
    "number": "1386852051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 W 15TH ST",
            "address_2": "STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935841",
            "telephone_number": "214-463-7671",
            "fax_number": "214-473-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 W 15TH ST",
            "address_2": "STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935841",
            "telephone_number": "214-463-7671",
            "fax_number": "214-473-7680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "NICHOLE",
        "middle_name": "KAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2016-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M6638",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "M6638",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199018601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8G0899",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199018602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8CZ856",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Michelle Johnson, LPT
• Lisa Johnson
• Mackalah Johnson
• Marshall Verner Johnson, D.D.S., M.S.
• Natasha Anjali Johnson, MD
• Norma Jean Johnson
• Phillip H Johnson, D.D.S.
• Robert Ernest Johnson, D.O
• Robert Lowell Johnson, M.D., MBA, FACP
• Roger L. Johnson, M.A, THM, L.P.C.

• Internal Medicine Physician in Plano, TX
• Providers in Plano, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.