Active NPI
Lindsay Johnson
- Physician Assistant
- Muleshoe, TX
National Provider Identifier
1982010666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA09157
- Practice address
- 701 S 1St St
Muleshoe, TX 79347-3626 - Phone
- (806) 272-7531
- Fax
- (806) 272-4749
- NPI assigned
- Jul 2, 2014
- Last updated
- Aug 12, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA09157 | TX | Primary |
Addresses
Primary practice location
701 S 1St St
Muleshoe, TX 79347-3626
Mailing address
708 S 1St St
Muleshoe, TX 79347-3627
Phone (806) 272-4524
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA09157 | TX | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407801600000",
"number": "1982010666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "708 S 1ST ST",
"city": "MULESHOE",
"state": "TX",
"postal_code": "793473627",
"telephone_number": "806-272-4524",
"fax_number": "806-272-4939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 S 1ST ST",
"city": "MULESHOE",
"state": "TX",
"postal_code": "793473626",
"telephone_number": "806-272-7531",
"fax_number": "806-272-4749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "LINDSAY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-02",
"last_updated": "2014-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA09157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muleshoe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.