Earline Phyllis Johnson, RN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

R0057976 Issued in OK

Practice address

2414 E Shawnee Rd
Muskogee, OK 74403-1530

Phone

(918) 577-3000

NPI assigned

Jun 23, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Earline Phyllis Carter Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1891682639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 E SHAWNEE RD",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744031530",
            "telephone_number": "918-577-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 E SHAWNEE RD",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744031530",
            "telephone_number": "918-577-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "EARLINE",
        "middle_name": "PHYLLIS",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OK",
            "license": "R0057976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EARLINE",
            "last_name": "CARTER",
            "middle_name": "PHYLLIS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jenny Lu Johns, O.D.
• Ruby Johns
• Stacy Ellen Johns
• Johnson Associates Systems Inc.
• Corderoe Edwin Johnson Sr.
• Lenox Dewayne Johnson
• Linda Rochelle Johnson
• Sarah Johnson
• Diane D. Johnston, M.D.
• Luke Joliff

• Psychiatric/Mental Health Registered Nurse in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Psychiatric/Mental Health Registered Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.