Active NPI
Judith Johnson
- Home Health Aide
- Dallas, TX
National Provider Identifier
1972014223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 2828 Forest LN Ste 1143
Dallas, TX 75234 - Phone
- (469) 231-2621
- Fax
- (214) 666-3825
- NPI assigned
- Oct 13, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | TX | ||
| Home Health Aide | 374U00000X | TX | ||
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
2828 Forest LN Ste 1143
Dallas, TX 75234
Mailing address
2828 Forest LN Ste 1102
Dallas, TX 75234-7500
Phone (469) 231-2621
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Judith Johnson | In Home Supportive Care | Current | Accepting new patients |
| Agape Home Health Agency, LLC | Single Specialty | Current | Accepting new patients |
Locations
2828 Forest Ln
Ste 1102
Dallas, TX 75234
Phone (469) 522-7802
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531180800000",
"number": "1972014223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2828 FOREST LN STE 1102",
"city": "DALLAS",
"state": "TX",
"postal_code": "752347500",
"telephone_number": "469-231-2621",
"fax_number": "214-666-3825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2828 FOREST LN STE 1143",
"city": "DALLAS",
"state": "TX",
"postal_code": "75234",
"telephone_number": "469-231-2621",
"fax_number": "214-666-3825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JUDITH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-13",
"last_updated": "2018-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.