Active NPI
Ada Diann Johnson, APRN-BC
- Family Nurse Practitioner
- Lawton, OK
National Provider Identifier
1437553252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 57970
- Practice address
- 5050 SW Lee Blvd
Lawton, OK 73505 - Phone
- (405) 230-9000
- Fax
- (405) 230-9157
- NPI assigned
- Oct 22, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 57970 | OK | Primary |
Addresses
Primary practice location
5050 SW Lee Blvd
Lawton, OK 73505
Mailing address
9600 Broadway Ext
Oklahoma City, OK 73114-7408
Phone (405) 230-9000
Other practice location 1
9600 Broadway Ext
Oklahoma City, OK 73114-7408
Phone (405) 230-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9600 Broadway Ext
McBride Orthopedic Hospital
Oklahoma City, OK 73114-7408
Phone (405) 486-2100
Hospital & facility affiliations
- Memorial Health
- Southwestern Medical Center
- Duncan Regional Hospital, Inc
- Jackson County Memorial Hospital Authority
- McBride Orthopedic Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.55 of 100
- Quality
- 81.07
- Promoting interoperability
- 86
- Improvement activities
- 40
- Cost
- 69.11
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McBride Clinic Orthopedic Hospital, LLC | Current | Accepting new patients | |
| McBride Clinic Orthopedic Hospital, LLC | Past | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients |
Locations
5050 SW Lee Blvd
Ste 2
Lawton, OK 73505
Phone (580) 699-8822
9600 Broadway Ext
Oklahoma City, OK 73114
Phone (405) 486-2100
Interoperability endpoints
- ada.johnson@moh.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Oklahoma City, OK
- NPI 1659413649
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1932145505
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lawton, OK
- NPI 1720022379
-
- Rural Acute Care Hospital
- Duncan, OK
- NPI 1851396394
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1932145505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565308800000",
"number": "1437553252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9600 BROADWAY EXT",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731147408",
"telephone_number": "405-230-9000",
"fax_number": "405-230-9175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5050 SW LEE BLVD",
"city": "LAWTON",
"state": "OK",
"postal_code": "73505",
"telephone_number": "405-230-9000",
"fax_number": "405-230-9157"
}
],
"practiceLocations": [
{
"address_1": "9600 Broadway Ext",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731147408",
"country_code": "US",
"telephone_number": "405-230-9000",
"fax_number": "405-230-9157",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "ADA",
"middle_name": "DIANN",
"credential": "APRN-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-22",
"last_updated": "2019-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "57970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.