Tara Renee Johnson

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

2009016264 Issued in MO

Practice address

18565 Business 13
Branson West, MO 65737-9659

Phone

(417) 272-8064

Fax

(417) 272-0073

NPI assigned

May 30, 2023

Last updated

May 30, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1790478485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18565 BUSINESS 13",
            "city": "BRANSON WEST",
            "state": "MO",
            "postal_code": "657379659",
            "telephone_number": "417-272-8064",
            "fax_number": "417-272-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18565 BUSINESS 13",
            "city": "BRANSON WEST",
            "state": "MO",
            "postal_code": "657379659",
            "telephone_number": "417-272-8064",
            "fax_number": "417-272-0073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Cortney Ln",
            "address_purpose": "LOCATION",
            "city": "Crane",
            "state": "MO",
            "postal_code": "656339192",
            "country_code": "US",
            "telephone_number": "417-723-5277",
            "fax_number": "417-723-5228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1232 Branson Hills Pkwy Ste 205",
            "address_purpose": "LOCATION",
            "city": "Branson",
            "state": "MO",
            "postal_code": "656164188",
            "country_code": "US",
            "telephone_number": "417-336-4701",
            "fax_number": "417-336-2772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TARA",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "MO",
            "license": "2009016264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sami Houssin Hourieh, MD
• Bryce A Huddleston
• Margaret (Mitzi) J Huffman, RN, FNP-C, SANE
• Kayla Nicole Hufham, MD
• Thomas Huseman, RPT
• Jennifer R Kern, MSW, LCSW
• Megan Key, MA, LPC
• Robert C Knight, LMT
• Lakeland Clinical
• Thomas J Legg, D.O.

• Case Manager/Care Coordinator in Branson West, MO
• Providers in Branson West, MO by specialty
• Case Manager/Care Coordinator in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.