Kechera Johnson

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2074840 Issued in TX

Practice address

1302 Tom Temple Dr
Lufkin, TX 75904-5581

Phone

(936) 634-0490

NPI assigned

Aug 10, 2010

Last updated

Aug 10, 2010By the provider in NPPES

Sex

Female

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

State licenses

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281398400000",
    "number": "1548575962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 HIGHWAY 98 W",
            "city": "SUMMIT",
            "state": "MS",
            "postal_code": "396669132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 TOM TEMPLE DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759045581",
            "telephone_number": "936-634-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KECHERA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-10",
        "last_updated": "2010-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2074840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi Johnson, FNP-C
• Hailey Lorayne Johnson, RN, BSN, FNP-C
• Jacquelyn Suell Johnson
• Jena Lynn Johnson, MSN, APRN, FNP-C
• Jerry L Johnson, MD
• Kimberly Darnae Johnson, RN
• Leondra Johnson
• Luke Johnson, M.D., M.P.H.
• Nelda Johnson, RNNP
• Ryan D Johnson, CRNA

• Physical Therapy Assistant in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; 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.