Jody L Johnson, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

531800 Issued in TX

Practice address

115 Spring Ridge Dr
Murphy, TX 75094-4267

Phone

(214) 636-1198

Fax

(972) 384-0694

NPI assigned

Aug 19, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Domicilliary Service LLC

  dba Dr. Rivero and Associates II

  • Legal Medicine
  • Dallas, TX
  • NPI 1710172093
  NPD (past)
• Physicians and Allied Health Professionals Group, PA

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1528011814
  NPD (past)

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

{
    "created_epoch": "1187481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300147200000",
    "number": "1689867145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SPRING RIDGE DR",
            "city": "MURPHY",
            "state": "TX",
            "postal_code": "750944267",
            "telephone_number": "214-636-1198",
            "fax_number": "972-384-0694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 SPRING RIDGE DR",
            "city": "MURPHY",
            "state": "TX",
            "postal_code": "750944267",
            "telephone_number": "214-636-1198",
            "fax_number": "972-384-0694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JODY",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-19",
        "last_updated": "2011-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "531800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI NUMBER",
            "identifier": "1710172093",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PROVIDER NUMBER",
            "identifier": "00Y958",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meetika Jindal
• John Allen Van Wagoner, MD, PA (Southwest Allergy & Asthma Center)
• Blaike Johnson
• Denise A. Johnson, MD
• Happy Johnson, FNP-C
• Tori Marie Jordan, OD
• Bhagyashri Pralhad Joshi, LCSW
• Haja Mohamed Kamara, MD
• Yasuhiko Kamura, DDS
• Esther Kang

• Gerontology Nurse Practitioner in Murphy, TX
• Providers in Murphy, TX by specialty
• Gerontology Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.