Kent Alan Johnson, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

86602 Issued in OK

Practice address

4400 N Lincoln Blvd
Oklahoma City, OK 73105-5104

Phone

(918) 344-2128

NPI assigned

Feb 10, 2014

Sex

Male

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 2

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fairfax Medical Facilities IncGroup PAC ID 4284663360, 16 clinicians

Oklahoma Mental Health CouncilGroup PAC ID 3173514387, 69 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AGHIAA
• Direct secure messaging: kent.johnson@fmf.eclinicaldirectplus.com

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.

• Fairfax Medical Facilities Inc

  • Federally Qualified Health Center (FQHC)
  • Fairfax, OK
  • NPI 1538183173

  OK

  Medicare reassignment Care Compare group NPD
• Oklahoma Mental Health Council

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oklahoma City, OK
  • NPI 1275574907

  OK

  Medicare reassignment Care Compare group NPD
• Comanche County Healthcare Corporation

  • Public Health or Welfare Agency
  • Lawton, OK
  • NPI 1053352690

  OK

  Medicare reassignment NPD
• Fairfax Medical Facilities, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ponca City, OK
  • NPI 1316747017
  Care Compare group NPD
• Jeffrey K McIlroy MD Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Claremore, OK
  • NPI 1053531830

  OK

  Medicare reassignment
• Fairfax Medical Facilities Inc

  • Federally Qualified Health Center (FQHC)
  • Hominy, OK
  • NPI 1609040864
  Care Compare group NPD (past)
• Fairfax Medical Facilities Inc

  • Federally Qualified Health Center (FQHC)
  • Newkirk, OK
  • NPI 1851535785
  Care Compare group NPD (past)
• Comanche County Healthcare Corporation

  • Allergy & Immunology Physician
  • Lawton, OK
  • NPI 1013640846
  NPD
• Comanche County Healthcare Corporation

  • Family Medicine Physician
  • Lawton, OK
  • NPI 1982025250
  NPD

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1437573508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 MAIN ST # 619",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812123732",
            "telephone_number": "918-344-2128",
            "fax_number": "918-642-5639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 N LINCOLN BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731055104",
            "telephone_number": "918-344-2128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "59 Currant Creek Ct",
            "address_purpose": "LOCATION",
            "city": "Canon City",
            "state": "CO",
            "postal_code": "812124715",
            "country_code": "US",
            "telephone_number": "918-344-2128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KENT",
        "middle_name": "ALAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-10",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "C.RXN.0100341-C-NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OK",
            "license": "86602",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "C-APN.0100511-C-NP",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200528420A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "344359YRHZ",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Johnson
• Katharine Elzabeth Johnson, RBT
• Kathryn Johnson, DO
• Kayrine Johnson
• Kelly Nicole Johnson, M.S., LMFT
• Kentrell Johnson
• Kenyon Johnson
• Kia Johnson
• Kimberly Johnson
• Kurstan Johnson

• All providers in Oklahoma City, OK
• Psychiatric/Mental Health Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.

Verify at the official NPI Registry.