Clothilda Johnson

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

881983 Issued in TX

Practice address

1762 E Northgate Dr Apt 1123
Irving, TX 75062-1622

Phone

(945) 345-0893

NPI assigned

Sep 12, 2022

Last updated

Sep 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1518689074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1762 E NORTHGATE DR APT 1123",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750621622",
            "telephone_number": "682-208-4725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1762 E NORTHGATE DR APT 1123",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750621622",
            "telephone_number": "945-345-0893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CLOTHILDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "881983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jilly John
• Sophia John
• Adrienne Dominique Johnson
• Booker Johnson, COTA
• Carmen Johnson
• Convalecia Marie Johnson
• Dana Catherine Johnson, LPC
• Jenny Ann Johnson, FNP-C
• Kristina Lee Johnson, COTA
• Leland Jay Johnson

• Registered Nurse in Irving, TX
• Providers in Irving, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.