Active NPI
Johnnie Mae Epperson, LMSW-IPR
- Case Manager/Care Coordinator
- San Antonio, TX
National Provider Identifier
1821424805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 28475
- Practice address
- 5019 Viking Coral
San Antonio, TX 78244-1671 - Phone
- (214) 232-4006
- Fax
- (210) 661-6705
- NPI assigned
- Sep 23, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 28475 | TX | Primary |
Addresses
Primary practice location
5019 Viking Coral
San Antonio, TX 78244-1671
Mailing address
PO Box 424
Converse, TX 78109-0424
Phone (214) 232-4006
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28475 | TX | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379894400000",
"number": "1821424805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 424",
"city": "CONVERSE",
"state": "TX",
"postal_code": "781090424",
"telephone_number": "214-232-4006",
"fax_number": "210-661-6705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5019 VIKING CORAL",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782441671",
"telephone_number": "214-232-4006",
"fax_number": "210-661-6705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EPPERSON",
"first_name": "JOHNNIE",
"middle_name": "MAE",
"credential": "LMSW-IPR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-23",
"last_updated": "2013-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "TX",
"license": "28475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.