Individual provider Active NPI

Dawna Herron Johnson, RN, MS, ARNP, CNP

  • Family Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1578518312
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
62363 Issued in OK
Practice address
4845 S Sheridan Rd Ste 411
Tulsa, OK 74145
Phone
(918) 641-4531
Fax
(918) 641-4717
NPI assigned
May 23, 2006
Last updated
Jun 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 62363 OK Primary

Addresses

Primary practice location

4845 S Sheridan Rd Ste 411
Tulsa, OK 74145

Mailing address

4845 S Sheridan Rd Ste 411
Tulsa, OK 74145-5751
Phone (918) 641-4531

Other practice location 1

4845 S Sheridan Rd Ste 411
Tulsa, OK 74145
Phone (918) 641-4531

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
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. 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
Certified Nurse Practitioner, Master of Science, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
62363OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Oklahoma Two Medical Group, PLLC Past Accepting new patients
Fairfax Healthcare Properties,L.L.C. Past Accepting new patients
Ahs Oklahoma Physician Group, LLC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1578518312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4845 S SHERIDAN RD STE 411",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741455751",
            "telephone_number": "918-641-4531",
            "fax_number": "918-641-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4845 S SHERIDAN RD STE 411",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74145",
            "telephone_number": "918-641-4531",
            "fax_number": "918-641-4717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4845 S Sheridan Rd Ste 411",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "74145",
            "country_code": "US",
            "telephone_number": "918-641-4531",
            "fax_number": "918-641-4717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DAWNA",
        "middle_name": "HERRON",
        "name_prefix": "Ms.",
        "credential": "RN, MS, ARNP, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "62363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; 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.