Active NPI
Windell Johnson, P. a.
- Family Nurse Practitioner
- White Hall, AR
National Provider Identifier
1881204758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- WINDELL JOHNSON, P. A.
- Practice address
- 7500 Dollarway Rd Ste 301
White Hall, AR 71602-3084 - Phone
- (512) 201-6766
- NPI assigned
- Aug 5, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Habib Khan
- Title
- Manager
- Phone
- (512) 201-6766
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | |||
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
7500 Dollarway Rd Ste 301
White Hall, AR 71602-3084
Mailing address
7604 Toltec Dr
North Little Rock, AR 72116-4586
Phone (512) 201-6766
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1401 S State St
Ste C
Pine Bluff, AR 71601
Phone (501) 534-5523
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Primary Care Nurse Practitioner
- White Hall, AR
- NPI 1245877224
-
- Family Medicine Physician
- Pine Bluff, AR
- NPI 1760839120
-
- Family Medicine Physician
- Pine Bluff, AR
- NPI 1669430682
-
- Primary Care Nurse Practitioner
- Pine Bluff, AR
- NPI 1427666569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765843200000",
"number": "1881204758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7604 TOLTEC DR",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721164586",
"telephone_number": "512-201-6766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7500 DOLLARWAY RD STE 301",
"city": "WHITE HALL",
"state": "AR",
"postal_code": "716023084",
"telephone_number": "512-201-6766"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WINDELL JOHNSON, P. A.",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-05",
"last_updated": "2025-12-16",
"certification_date": "2025-12-16",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "HABIB",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "512-201-6766"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in White Hall, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.