Individual provider Active NPI

Christina Monique Johnson, FNP-C

  • Family Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1447089065
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1170195 Issued in TX
Practice address
601 Texan TRL Ste 300
Corpus Christi, TX 78411-2549
Phone
(361) 887-2900
NPI assigned
Jul 31, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1170195 TX Primary

Addresses

Primary practice location

601 Texan TRL Ste 300
Corpus Christi, TX 78411-2549

Mailing address

601 Texan TRL Ste 300
Corpus Christi, TX 78411-2549
Phone (361) 887-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20241016001293 TX Practitioner - Nurse Practitioner 0941732986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Cardiology AssociationGroup PAC ID 6608873039, 9 clinicians

Practice addresses (Care Compare)

1025 Morgan Ave
Corpus Christi, TX 78404-2041
Phone (361) 887-2739

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Cardiology Association CurrentSince Sep 1, 2024 Accepting new patients

Locations

601 Texan Trl
Ste 300
Corpus Christi, TX 78411
Phone (361) 887-2900

1025 Morgan Ave
Corpus Christi, TX 78404
Phone (361) 885-0075

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1447089065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 TEXAN TRL STE 300",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784112549",
            "telephone_number": "361-887-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 TEXAN TRL STE 300",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784112549",
            "telephone_number": "361-887-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHRISTINA",
        "middle_name": "MONIQUE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1170195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.