Jennifer Amanda Johnson, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1049262 Issued in TX

Practice address

1509 Oakwood Dr
Stephenville, TX 76401-1652

Phone

(254) 434-8448

NPI assigned

Aug 10, 2021

Sex

Female

Sole proprietor

No

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

Enrolled in TX

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.

• Texas Outpatient & Infusion Center

  • Clinic/Center
  • Brownwood, TX
  • NPI 1730839846
  Medicare reassignment NPD
• Texas Outpatient & Infusion Center

  • Clinic/Center
  • Goldthwaite, TX
  • NPI 1871323089
  NPD
• Comanche County Medical Center Company

  dba Doctors Medical Center

  • Rural Health Clinic/Center
  • Comanche, TX
  • NPI 1114221199
  NPD (past)

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1679248934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 OAKWOOD DR",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764011652",
            "telephone_number": "254-434-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 OAKWOOD DR",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764011652",
            "telephone_number": "254-434-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JENNIFER",
        "middle_name": "AMANDA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1049262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Albert Jerrett, LPC
• Jerrilea a Hubble
• Jiwani Co LLC
• Catherine Johns, MS, CCC/SLP
• Amy Johnson, PT
• Erika Johnston, COTA
• Wesley Alan Jones
• Charles Jordan, FNP-C
• Judy Lynn Julian
• Carrie Kaupke, COTA

• Family Nurse Practitioner in Stephenville, TX
• Providers in Stephenville, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.