Individual provider Active NPI

Elizabeth Ann Johnson, AUD, FAAA

  • Audiologist
  • Arlington, TX
National Provider Identifier
1821155201
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
90346 Issued in TX
Practice address
3132 Matlock Rd Ste 303
Arlington, TX 76015-2922
Phone
(817) 472-7720
Fax
(817) 417-7280
NPI assigned
Jan 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 90346 TX Primary
Audiologist-Hearing Aid Fitter 237600000X 50362 TX
Audiologist-Hearing Aid Fitter 237600000X 01001355-02 TX

Addresses

Primary practice location

3132 Matlock Rd Ste 303
Arlington, TX 76015-2922

Mailing address

3132 Matlock Rd Ste 303
Arlington, TX 76015-2922
Phone (817) 472-7720

Other identifiers 1

IdentifierTypeStateIssuer
1043219082OtherTXNPI-ORGANIZATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
90346TXMDAudiologist
01001355-02TXMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Cook Children'S Physician Network PastSince Dec 30, 1997 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1821155201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3132 MATLOCK RD STE 303",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152922",
            "telephone_number": "817-472-7720",
            "fax_number": "817-417-7280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3132 MATLOCK RD STE 303",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152922",
            "telephone_number": "817-472-7720",
            "fax_number": "817-417-7280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "AUD, FAAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "90346",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": "50362",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": "01001355-02",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI-ORGANIZATION",
            "identifier": "1043219082",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.