Mari Nanette Johnson, BSN, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

610559 Issued in TX

Practice address

3651 Prairie Waters Dr Apt 5113
Grand Prairie, TX 75052-5477

Phone

(214) 301-9152

NPI assigned

Mar 15, 2007

Last updated

Apr 24, 2022By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650758400000",
    "number": "1588798599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3651 PRAIRIE WATERS DR APT 5113",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750525477",
            "telephone_number": "214-301-9152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3651 PRAIRIE WATERS DR APT 5113",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750525477",
            "telephone_number": "214-301-9152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARI",
        "middle_name": "NANETTE",
        "name_prefix": "Ms.",
        "credential": "BSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2022-04-24",
        "certification_date": "2022-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "610559",
            "primary": true
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "TX",
            "license": "610559",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candice Nicole Johnson
• Courtney D Johnson, FNP-C
• Eric R Johnson, DO
• Keara Rona' Johnson, DNP APRN FNP-BC
• Kristen Nicole Johnson
• Patrice Johnson, LMSW
• Tracey Johnson
• Jacob Cameron Johnston
• Jokat Health Care LLC (jokat group home)
• Andrew Roy Jones, LMFT

• Registered Nurse in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.