Trazell L. Johnson, NP-C

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

AG08190002 Issued in AZ

Practice address

1717 E Bell Rd Ste 8
Phoenix, AZ 85022-6200

Phone

(602) 546-7122

NPI assigned

Dec 12, 2008

Last updated

Sep 3, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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

• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  AZ, Nurse Practitioner

  Medicare reassignment NPD
• Emc Transport Inc.

  • Non-emergency Medical Transport (VAN)
  • Phoenix, AZ
  • NPI 1740046374
  NPD Authorized official
• CJC Health Solutions, LLC

  • Primary Care Nurse Practitioner
  • Snellville, GA
  • NPI 1063229466
  NPD (past)
• Okida Smiles, LLC

  dba Home Helpers/Direct Link

  • Home Health Agency
  • Richmond, VA
  • NPI 1851536213
  NPD (past)
• St. Theresa's OB/GYN Inc.

  • Obstetrics & Gynecology Physician
  • Snellville, GA
  • NPI 1619333713
  NPD (past)

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1659516011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 E BELL RD STE 8",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850226200",
            "telephone_number": "804-683-3257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 E BELL RD STE 8",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850226200",
            "telephone_number": "602-546-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TRAZELL",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-12",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN214425",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "AG08190002",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "251456",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Denise Johnson, BA
• Taryn Johnson, DO
• Terra Rachelle Johnson, MS, RDN, IBCLC
• Tiffany L Johnson, M.D.
• Tina M Johnson
• Van Allan Johnson Jr., MD
• Vaughn Johnson
• Victoria Johnson
• Victoria Johnson, SOLE PROPRIETOR
• Warren C Johnson, M.D., PH.D.

• Gerontology Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Gerontology Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.