Shannon a. Johnson M.D., PA

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

K7174 Issued in TX

Legal business name

SHANNON A. JOHNSON M.D., PA

Practice address

3901 Airport Fwy
Suite 320
Bedford, TX 76021-6117

Phone

(817) 283-7400

Fax

(817) 283-7406

NPI assigned

Nov 14, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Shannon Andrea Johnson, M.D.NPI 1326146960

Title

President

Phone

(817) 283-7400

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon Johnson, M.D.

  • Psychiatry Physician
  • Bedford, TX
  • NPI 1326146960
  NPD (past) Authorized official

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

{
    "created_epoch": "1258156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264982400000",
    "number": "1609103456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1250",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750301250",
            "telephone_number": "817-283-7400",
            "fax_number": "817-283-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 AIRPORT FWY",
            "address_2": "SUITE 320",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760216117",
            "telephone_number": "817-283-7400",
            "fax_number": "817-283-7406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON A. JOHNSON M.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-14",
        "last_updated": "2010-02-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "ANDREA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-283-7400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "TX",
            "license": "K7174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serenity With Sabado
• Ida Louisse Serraon
• Rahim Ruknudin Sewani, DO, PHD
• Jessica Praful Shah, MD
• Sajid Hussain Shah, MD
• Andrew Chao-Yu Shea, M.D.
• Mya Shed
• Sheri Miller, PLLC
• Chloe Shetler
• Shifacare Inc.

• Adult Mental Health Clinic/Center in Bedford, TX
• Providers in Bedford, TX by specialty
• Adult Mental Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.