Active NPI
Pryncess Johnson, DPM
- Foot & Ankle Surgery Podiatrist
- Richmond, VA
National Provider Identifier
1629019153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 0103300936
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pryncess Johnson Stephens, DPM | Past | 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.
-
- Podiatric Clinic/Center
- Hampton, VA
- NPI 1497868889
Foot & Ankle Surgery
-
- Podiatrist
- Houston, TX
- NPI 1487837183
-
- Foot & Ankle Surgery Podiatrist
- Houston, TX
- NPI 1629001193
-
- Primary Podiatric Medicine Podiatrist
- Houston, TX
- NPI 1164677753
-
- Primary Podiatric Medicine Podiatrist
- Wharton, TX
- NPI 1881849180
-
- Podiatric Clinic/Center
- Kingwood, TX
- NPI 1376841080
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.