Jerri Lynn Johnson, APRN-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP104041 Issued in TX

Practice address

1000 Craig Dr
Amarillo, TX 79106-4015

Phone

(806) 351-7070

Fax

(806) 351-7079

NPI assigned

Jul 20, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Ms. Jerri Lynn Robertson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Regence Health Network Inc

  • Federally Qualified Health Center (FQHC)
  • Plainview, TX
  • NPI 1396741237
  NPD (past)

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506297600000",
    "number": "1417956590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3046",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193550746",
            "telephone_number": "806-351-7070",
            "fax_number": "806-351-7079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CRAIG DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791064015",
            "telephone_number": "806-351-7070",
            "fax_number": "806-351-7079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JERRI",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "APRN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-20",
        "last_updated": "2017-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "541369",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "541369",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP104041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167564701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JERRI",
            "last_name": "ROBERTSON",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "APRN-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Desirae Danielle Johnson, RBT
• Dionna Delia Johnson, PTA
• Donnice Johnson, RN
• Garrett Johnson, MD
• Gregory R Johnson, MD
• Jessica Johnson, OTR
• Kristal G Johnson, SLP
• Lisa Johnson, RN FNP-C
• Lorelei Anne Johnson, RN
• Matthew Douglas Johnson, CRNA

• Nurse Practitioner in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2017; 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.