Individual provider Active NPI

Juanita Ruth Johnson, LNFA

  • Non-emergency Medical Transport (VAN)
  • Tyler, TX
National Provider Identifier
1720932684
Registry record updated Aug 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
19758921 Issued in TX
Practice address
4055 Hogan Dr Apt 506
Tyler, TX 75709-6933
Phone
(903) 574-0204
NPI assigned
Feb 25, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 19758921 TX Primary

Addresses

Primary practice location

4055 Hogan Dr Apt 506
Tyler, TX 75709-6933

Mailing address

4055 Hogan Dr Apt 506
Tyler, TX 75709-6933
Phone (430) 382-2141

Other names 1

  • Juanita Ruth Johnson Other name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
19758921TXMDTransportation Network Company

Practice roles

OrganizationSpecialtyStatusNew patients
Juanita Ruth Johnson Non-Emergency Medical Transport (Van) Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1771977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786838400000",
    "number": "1720932684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 HOGAN DR APT 506",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757096933",
            "telephone_number": "430-382-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 HOGAN DR APT 506",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757096933",
            "telephone_number": "903-574-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JUANITA",
        "middle_name": "RUTH",
        "credential": "LNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-02-25",
        "last_updated": "2026-08-16",
        "certification_date": "2026-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TX",
            "license": "19758921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUANITA",
            "last_name": "JOHNSON",
            "middle_name": "RUTH",
            "credential": "LNFA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2026; 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.