Active NPI
Karina Maria Johannes, PA-C
- Physician Assistant
- Tulsa, OK
National Provider Identifier
1720514219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA 2783
- Practice address
- 1430 Terrace Dr
Tulsa, OK 74104 - Phone
- (918) 748-8024
- Fax
- (918) 748-8249
- NPI assigned
- May 3, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA 2783 | OK | Primary |
Addresses
Primary practice location
1430 Terrace Dr
Tulsa, OK 74104
Mailing address
1430 Terrace Dr
Tulsa, OK 74104-4626
Phone (918) 748-8024
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2783 | OK | MD | Optometrist |
| PA 2783 | OK | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532044800000",
"number": "1720514219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 TERRACE DR",
"city": "TULSA",
"state": "OK",
"postal_code": "741044626",
"telephone_number": "918-748-8024",
"fax_number": "918-748-8249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 TERRACE DR",
"city": "TULSA",
"state": "OK",
"postal_code": "74104",
"telephone_number": "918-748-8024",
"fax_number": "918-748-8249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHANNES",
"first_name": "KARINA",
"middle_name": "MARIA",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-03",
"last_updated": "2018-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "PA 2783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.