Caldwell-Johnson PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CALDWELL-JOHNSON PLLC

Doing business as

Ridge Creek Family Practice

Practice address

15190 Badger Ranch Blvd Ste 102
Woodway, TX 76712-8984

Phone

(254) 301-7166

Fax

(254) 824-3297

NPI assigned

May 16, 2022

Last updated

Oct 30, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carrie A Johnson, NPNPI 1316071624

Title

Owner

Phone

(254) 301-7166

Specialties & licenses 1

Addresses

Other names 1

• Ridge Creek Family Practice Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carrie Ann Johnson, FNP-C

  • Family Nurse Practitioner
  • Woodway, TX
  • NPI 1316071624
  Authorized official Same address or phone

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1851038350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15190 BADGER RANCH BLVD STE 102",
            "city": "WOODWAY",
            "state": "TX",
            "postal_code": "767128984",
            "telephone_number": "254-301-7166",
            "fax_number": "254-824-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15190 BADGER RANCH BLVD STE 102",
            "city": "WOODWAY",
            "state": "TX",
            "postal_code": "767128984",
            "telephone_number": "254-301-7166",
            "fax_number": "254-824-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALDWELL-JOHNSON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-16",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-301-7166",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ridge Creek Family Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ridge Creek Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amber Burns, LPC
• Paul Aaron Burns, M.D.
• Raymond Eugene Butts, LPC
• Tracee Blacklock Cahak, P.T.
• Cole Calder, PT, DPT
• Xuikierra Campfield
• Nancy Canada, LVN
• Monique Candelaria
• Heather Noel Carey, LMFT ASSOCIATE
• Abigail Mata Castillo

• Primary Care Clinic/Center in Woodway, TX
• Providers in Woodway, TX by specialty
• Primary Care Clinic/Center in Texas

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