Individual provider Active NPI

Pryncess Johnson, DPM

  • Foot & Ankle Surgery Podiatrist
  • Richmond, VA
National Provider Identifier
1629019153
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0103300936 Issued in VA
Practice address
1201 Broad Rock Blvd Podiatry Dept
Richmond, VA 23249-1554
Phone
(804) 675-5000
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 1924 TX
Foot & Ankle Surgery Podiatrist 213ES0103X 0103300936 VA Primary

Addresses

Primary practice location

1201 Broad Rock Blvd Podiatry Dept
Richmond, VA 23249-1554

Mailing address

4036 Lazy Stream CT
Chester, VA 23831-6933
Phone (804) 310-8392

Other practice location 1

17426 Bear River Ln
Humble, TX 77346-1554
Phone (804) 310-8392

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pryncess Johnson Stephens, DPM PastSince May 5, 2010 Accepting new patients
Preferred Foot Specialists of Texas, LLC Past Accepting new patients
Lorraine E McKinney DPM PLLC Past Accepting new patients
Pinnacle Foot and Ankle Centers, LLP Foot & Ankle Surgery Past Accepting new patients
Ambulatory Foot & Ankle Center, P.C. Foot & Ankle Surgery Past Accepting new patients
Preferred Foot Specialists of Texas, LLC Past Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1629019153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4036 LAZY STREAM CT",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238316933",
            "telephone_number": "804-310-8392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 BROAD ROCK BLVD PODIATRY DEPT",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232491554",
            "telephone_number": "804-675-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17426 Bear River Ln",
            "address_purpose": "LOCATION",
            "city": "Humble",
            "state": "TX",
            "postal_code": "773461554",
            "country_code": "US",
            "telephone_number": "804-310-8392",
            "fax_number": "866-862-9655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PRYNCESS",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1924",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103300936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; 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.