Keith D Johnson

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Practice address

511 W Burleson St
Marshall, TX 75670-3107

Phone

(972) 365-1370

NPI assigned

Feb 5, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1487417119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12400 CEDAR KNOLL DR",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760282774",
            "telephone_number": "972-365-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 W BURLESON ST",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756703107",
            "telephone_number": "972-365-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KEITH",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marjorie Kay Jarrell, FNP
• Jeci Corporation
• JKB Surgical Associates PLLC
• Chelsea Johnson
• Jasmine Johnson, FNP-C
• Markita Johnson, COTA
• Peggy Sue Johnson, LCSW
• Richard Johnson, CRNA
• Amy Evans Jolly, M.S., CCC-SLP
• Larissa Nichole Jones

• Home Health Agency in Marshall, TX
• Providers in Marshall, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.