Individual provider Active NPI

Shawna Marie Johnston, FNP

  • Family Nurse Practitioner
  • Lorena, TX
National Provider Identifier
1780481507
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1191139 Issued in TX
Practice address
11504 Ceres St
Lorena, TX 76655-3676
Phone
(682) 459-7558
NPI assigned
Feb 27, 2025
Last updated
Feb 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1191139 TX Primary

Addresses

Primary practice location

11504 Ceres St
Lorena, TX 76655-3676

Mailing address

11504 Ceres St
Lorena, TX 76655-3676
Phone (682) 459-7558

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250410002064 TX Practitioner - Nurse Practitioner 2062936180 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1191139TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Truhealth, LLC CurrentSince Mar 24, 2025 Accepting new patients

Locations

1971 Tennessee Ave N
Parsons, TN 38363
Phone (731) 847-1356

511 S Bailey St
Electra, TX 76360
Phone (940) 247-7099

910 E Pierson St
Hamilton, TX 76531
Phone (254) 386-8113

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1740614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1780481507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11504 CERES ST",
            "city": "LORENA",
            "state": "TX",
            "postal_code": "766553676",
            "telephone_number": "682-459-7558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11504 CERES ST",
            "city": "LORENA",
            "state": "TX",
            "postal_code": "766553676",
            "telephone_number": "682-459-7558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "SHAWNA",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-27",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1191139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorena, TX

Sources for this page

Verify at the official NPI Registry.