Lynette Johnson, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

E4329 Issued in AR

Practice address

604 N Spring St
Harrison, AR 72601-2952

Phone

(870) 741-6418

Fax

(870) 741-5071

NPI assigned

Feb 10, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• North Arkansas Regional Medical Center

  • Surgery Physician
  • Harrison, AR
  • NPI 1003180035
  NPD (past)

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392076800000",
    "number": "1801869680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1116",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726021116",
            "telephone_number": "870-741-6418",
            "fax_number": "870-741-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 N SPRING ST",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012952",
            "telephone_number": "870-741-6418",
            "fax_number": "870-741-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LYNETTE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2014-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "E4329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157673001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Felicia Johnson
• Ginger M Johnson
• Jessica Johnson
• Kimberly A Johnson, OTR L
• Kyle Johnson, PHARMD
• Jones Physical Therapy PLC
• Marcus Shawn Jones, MPT
• Julie Foster, Speech Language Pathologist, Inc.
• Kah Development 4, LLC
• Anna Kahn, DC

• Specialist in Harrison, AR
• Providers in Harrison, AR by specialty
• Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; 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.