Chelsea Nicole Johnson, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

R3352 Issued in TX

Practice address

709 South Bagdad Road
North Austin Pediatrics
Leander, TX 78641

Phone

(512) 260-0101

Fax

(855) 862-9297

NPI assigned

May 20, 2014

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

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: chelsea.johnson@napp.eclinicaldirectplus.com

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

• Ellis Pediatrics

  • Pediatrics Physician
  • Austin, TX
  • NPI 1790932259
  NPD (past)

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588896000000",
    "number": "1609287010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 SOUTH BAGDAD ROAD",
            "address_2": "NORTH AUSTIN PEDIATRICS",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "78641",
            "telephone_number": "512-260-0101",
            "fax_number": "855-862-9297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 SOUTH BAGDAD ROAD",
            "address_2": "NORTH AUSTIN PEDIATRICS",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "78641",
            "telephone_number": "512-260-0101",
            "fax_number": "855-862-9297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12201 Renfert Way Ste 110",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787585362",
            "country_code": "US",
            "telephone_number": "512-491-5125",
            "fax_number": "888-833-7248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHELSEA",
        "middle_name": "NICOLE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-20",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "R3352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Speights Ince, LPC
• Kim Angelina Ivy, RPH
• Evelyn Jackson
• Jodie L. West, O.D., P.a
• Aisha Johnson
• Lauren Elise Johnson
• Veronica R Joiner
• Jol Home Health San Antonio, LLC
• Sukwan Jolley, RD
• Emily Jones, PT, DPT

• Pediatrics Physician in Leander, TX
• Providers in Leander, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; 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.