Active NPI
Inez Johnston, FNP-C
- Family Nurse Practitioner
- Southlake, TX
National Provider Identifier
1508648189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1089659
- Practice address
- 116 River Oaks Drive, #100
Southlake, TX 76092-7086 - Phone
- (817) 431-7210
- NPI assigned
- Oct 18, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 1089659 | TX | Primary |
Addresses
Primary practice location
116 River Oaks Drive, #100
Southlake, TX 76092-7086
Mailing address
116 River Oaks Dr Ste 100
Southlake, TX 76092-7087
Phone (817) 431-7210
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1089659 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Matters Primary Care | Current | Accepting new patients | |
| Van Beljon LLC | Past | Accepting new patients |
Locations
116 River Oaks Dr
Ste 100
Southlake, TX 76092
Phone (505) 220-6814
Organizations & group practices 2
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.
-
- Primary Care Clinic/Center
- Southlake, TX
- NPI 1023849957
-
- Chiropractor
- Colleyville, TX
- NPI 1982128484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748995200000",
"number": "1508648189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 RIVER OAKS DR STE 100",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760927087",
"telephone_number": "817-431-7210",
"fax_number": "949-703-8187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 RIVER OAKS DRIVE, #100",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760927086",
"telephone_number": "817-431-7210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "INEZ",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-18",
"last_updated": "2025-06-04",
"certification_date": "2025-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1089659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.