Individual provider Active NPI

Johnnie Mae Ireland, WHNP-BC

  • Women's Health Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1497961494
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
547683 Issued in TX
Practice address
1919 8TH Ave
Fort Worth, TX 76110-1358
Phone
(817) 332-7722
Fax
(817) 900-8675
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 547683 TX Primary

Addresses

Primary practice location

1919 8TH Ave
Fort Worth, TX 76110-1358

Mailing address

948 E Mulkey St
Fort Worth, TX 76104-6547
Phone (817) 422-8358

Other names 1

  • Johnnie Ireland Slaughter Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address johnnie@HELPCenterTX.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
547683TXMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Education Learning Project CurrentSince Feb 24, 2022 Accepting new patients

Locations

1919 8th Ave
Fort Worth, TX 76110
Phone (817) 332-7722

Interoperability endpoints

  • Direct secure messaging: johnnie.slaughter.1@16243.direct.athenahealth.com
  • Direct secure messaging: johnnie@helpcentertx.org

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": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1497961494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "948 E MULKEY ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761046547",
            "telephone_number": "817-422-8358",
            "fax_number": "817-257-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 8TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101358",
            "telephone_number": "817-332-7722",
            "fax_number": "817-900-8675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRELAND",
        "first_name": "JOHNNIE",
        "middle_name": "MAE",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "547683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "johnnie@HELPCenterTX.org",
            "affiliation": "N",
            "endpointDescription": "employee email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Education Learning  Project",
            "address_1": "1919 8th Ave",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761101358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JOHNNIE",
            "last_name": "SLAUGHTER",
            "middle_name": "IRELAND",
            "credential": "WHNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.