SHANTAE JOHNSON NP-BC NPI 1750872487

NPI Information

NPI: 1750872487
Provider Name: SHANTAE JOHNSON, NP-BC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
17520 W GRAND PKWY S
SUGAR LAND, TX
ZIP 77479
Phone: (812) 725-5970
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Shantae Johnson, NP-BC is an adult health nurse practitioner in Sugar Land, TX with 7 years of experience. Shantae Johnson, NP-BC NPI is 1750872487. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

17520 W GRAND PKWY S
SUGAR LAND, TX
ZIP 77479-758
Phone: (812) 725-5970

The NPI 1750872487 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/30/2018 and was last updated on 10/17/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	AP143150	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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