Ledra Carter Johnson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

61764 Issued in TX

Practice address

1226 Braelinn LN
Sugar Land, TX 77479-5930

Phone

(832) 508-5266

NPI assigned

Nov 9, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Texas Children'S Physician Group

  • Pediatrics Physician
  • Houston, TX
  • NPI 1861675506
  Medicare reassignment

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1922600691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 BRAELINN LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774795930",
            "telephone_number": "832-508-5266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 BRAELINN LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774795930",
            "telephone_number": "832-508-5266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LEDRA",
        "middle_name": "CARTER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-09",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "61764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Willis Johnson, CNIM
• Jason Courtney Johnson, SLP
• Kalaysha L Johnson
• Laurin E Johnson, M.S., CCC-SLP
• Lea Simone Johnson, MD
• Nina Johnson
• Sarah Latrice Johnson, CRNA
• Shakearra Johnson
• Shannon Smith Johnson, LMFT, LCDC
• Shantae Johnson, NP-BC

• Clinical Social Worker in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.