Active NPI
Cheryl A Johnston, PA
- Physician Assistant
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA00267
- Practice address
- 4101 James Casey #300
Austin, TX 78745-1155 - Phone
- (512) 383-9752
- Fax
- (512) 383-9296
- NPI assigned
- Aug 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA00267 | TX | Primary |
Addresses
Primary practice location
4101 James Casey #300
Austin, TX 78745-1155
Mailing address
PO Box 26726
Austin, TX 78755-0726
Phone (512) 407-8686
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 181981501 | Medicaid | TX | |
| 181981502 | Medicaid | TX | |
| 970025377 | Medicaid | TX |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3816 S 1St St
Austin, TX 78704-7048
Phone (512) 443-1311
3828 S 1St St
Arc South 1St
Austin, TX 78704-7048
Phone (512) 443-1311
6835 Austin Ctr Blvd
Austin, TX 78731-3166
Phone (512) 346-6611
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA00267 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin Regional Clinic, PA | Physician Assistant | Current | Accepting new patients |
| Austin Regional Clinic, PA | Current | Accepting new patients | |
| Austin Regional Clinic, PA | Past | Accepting new patients |
Locations
1301 W 38th St
Ste 205
Austin, TX 78705
Phone (512) 324-1864
6835 Austin Center Blvd
Austin, TX 78731
Phone (512) 231-5210
6210 E Highway 290
Ste 420
Austin, TX 78723
Phone (512) 338-3802
4101 James Casey St
Ste 300
Austin, TX 78745
Phone (512) 383-9752
151 Exchange Blvd
Ste 500
Hutto, TX 78634
Phone (512) 846-1244
Interoperability endpoints
- cjohnston1599@arcmd.direct-ci.com
Organizations & group practices 3
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.
-
- Durable Medical Equipment & Medical Supplies
- Kyle, TX
- NPI 1235746413
-
- Durable Medical Equipment & Medical Supplies
- Austin, TX
- NPI 1659691624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294358400000",
"number": "1700992435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26726",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787550726",
"telephone_number": "512-407-8686",
"fax_number": "512-421-4489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 JAMES CASEY #300",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787451155",
"telephone_number": "512-383-9752",
"fax_number": "512-383-9296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "CHERYL",
"middle_name": "A",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2011-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA00267",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "181981501",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "181981502",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "970025377",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.