Active NPI
Heather Ann Johnson, RN
- Nurse Practitioner
- Waco, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1029236
- Practice address
- 100 Hillcrest Medical Blvd
Waco, TX 76712-8897 - Phone
- (254) 202-2000
- NPI assigned
- Nov 3, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 939803 | TX | |
| Nurse Practitioner | 363L00000X | 939803 | TX | |
| Nurse Practitioner | 363L00000X | 1029236 | TX | Primary |
Addresses
Primary practice location
100 Hillcrest Medical Blvd
Waco, TX 76712-8897
Mailing address
PO Box 848491
Dallas, TX 75284-8491
Phone (254) 202-9330
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hjohnson305032@direct.sw.org | Direct | |
| Direct Messaging Address | hjohnson305032@direct.sw.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Texas Medical School at Houston, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 8TH Ave
Fort Worth, TX 76104-4110
4001 Worth St
Dallas, TX 75246-1608
5408 Colleyville Blvd
Colleyville, TX 76034-5833
Phone (817) 498-9920
6500 Harris Pkwy
Ft Worth, TX 76132-4136
Phone (817) 263-2600
Hospital & facility affiliations
- Baylor Scott and White All Saints Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1029236 | TX | MD | Nurse Practitioner |
| 939803 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Hillcrest Physician Services | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Scott & White Hospital - Taylor | Past | Accepting new patients |
Locations
5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920
4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
5701 Airport Rd
#200
Temple, TX 76502
Phone (254) 215-9790
100 Hillcrest Medical Blvd
Waco, TX 76712
Phone (254) 202-2000
50 Hillcrest Medical Blvd
Waco, TX 76712
Phone (254) 202-7300
Interoperability endpoints
- hjohnson305032@direct.sw.org
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1760488936
-
- Medical Oncology Physician
- El Paso, TX
- NPI 1811944101
-
- Internal Medicine Physician
- Waco, TX
- NPI 1649294323
-
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
- Family Medicine Physician
- Colleyville, TX
- NPI 1235135906
-
- Emergency Medicine Physician
- Taylor, TX
- NPI 1659366557
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1669472387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674000000000",
"number": "1851992184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 848491",
"city": "DALLAS",
"state": "TX",
"postal_code": "752848491",
"telephone_number": "254-202-9330",
"fax_number": "254-202-9349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HILLCREST MEDICAL BLVD",
"city": "WACO",
"state": "TX",
"postal_code": "767128897",
"telephone_number": "254-202-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "HEATHER",
"middle_name": "ANN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-03",
"last_updated": "2023-01-18",
"certification_date": "2023-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "939803",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "939803",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "1029236",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hjohnson305032@direct.sw.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "100 Hillcrest Medical Blvd",
"city": "Waco",
"state": "TX",
"country_code": "US",
"postal_code": "767128897",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hjohnson305032@direct.sw.org",
"affiliation": "N",
"address_1": "1400 8th Ave",
"city": "Fort Worth",
"state": "TX",
"country_code": "US",
"postal_code": "761044110",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.