Kandi Johnson, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

112539 Issued in TX

Practice address

5610 Dartmouth St
Lubbock, TX 79416-1335

Phone

(806) 787-4087

NPI assigned

Aug 25, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251158400000",
    "number": "1750514741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 MEDI PARK DR",
            "address_2": "SUITE 65",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5610 DARTMOUTH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794161335",
            "telephone_number": "806-787-4087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KANDI",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-25",
        "last_updated": "2009-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "112539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jake Johnson, CRNA
• James Matthew Johnson, D.C.
• John Cameron Johnson, DDS
• Joseph Henry Johnson
• Judith Faye Johnson, F.N.P.
• Kara Rachelle Johnson, RN
• Kelly Kathryn Johnson, LCSW
• Kyla Johnson
• Lacey Johnson, LCDC-I
• Lara W. Johnson, M.D.

• Occupational Therapist in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; 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.