Stefani Gael Johnson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

0113126 Issued in OK

Practice address

238 N Mustang Rd
Mustang, OK 73064-3911

Phone

(405) 376-4547

NPI assigned

Feb 7, 2022

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

Other names 1

• Stefani Reynolds Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1740934918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 N MUSTANG RD",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730643911",
            "telephone_number": "405-376-4547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 N MUSTANG RD",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730643911",
            "telephone_number": "405-376-4547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STEFANI",
        "middle_name": "GAEL",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "0113126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "evanyclinic@outlook.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "238 N Mustang Rd",
            "city": "Mustang",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730643911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "STEFANI",
            "last_name": "REYNOLDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joanna R. Owens Aprn-Crna, PLLC
• John M Ketcher LLC
• John R. Ainsworth D.D.S.
• Isabella Johns
• Sid L Johnson, DDS
• Abigail Johnston - English
• Jon a. Barnes, DDS, PLLC
• Heidi Nicole Jones, CLD (MATERNITYWISE)
• Khari Jones
• Tyler Jones

• Registered Nurse in Mustang, OK
• Providers in Mustang, OK by specialty
• Registered Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.