Active NPI
Bethsheba Johnson, NP
- Gerontology Nurse Practitioner
- Bellaire, TX
National Provider Identifier
1952420184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 773406
- Practice address
- 6800 West Loop South
Suite 560
Bellaire, TX 77401 - Phone
- (713) 839-7111
- Fax
- (713) 839-7193
- NPI assigned
- Mar 28, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 773406 | TX | Primary |
| Medical-Surgical Clinical Nurse Specialist | 364SM0705X | 209002361 | IL |
Addresses
Primary practice location
6800 West Loop South
Suite 560
Bellaire, TX 77401
Mailing address
6200 Savoy Drive
Suite 540
Houston, TX 77036
Phone (713) 778-1300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 773406 | TX | MD | Gerontology Nurse Practitioner |
| 209002361 | IL | MD | Medical-Surgical Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318636800000",
"number": "1952420184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6200 SAVOY DRIVE",
"address_2": "SUITE 540",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77036",
"telephone_number": "713-778-1300",
"fax_number": "713-778-0827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6800 WEST LOOP SOUTH",
"address_2": "SUITE 560",
"city": "BELLAIRE",
"state": "TX",
"postal_code": "77401",
"telephone_number": "713-839-7111",
"fax_number": "713-839-7193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "BETHSHEBA",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2011-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TX",
"license": "773406",
"primary": true
},
{
"code": "364SM0705X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Medical-Surgical",
"state": "IL",
"license": "209002361",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellaire, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.