RICHARD EARL JOHNSON (NPI# 1306877527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306877527 |
| Entity Type | Individual |
| Full Name | RICHARD EARL JOHNSON |
| Credential | PHD |
| Practice Address |
3109 6th Ave Ste B Fort Worth TX 76110-3800 |
| Mailing Address |
1105 Vista View Dr Burleson TX 76028-9394 |
| Practice Telephone | 8178468466 |
| Practice Fax Number | 8172880958 |
| Mailing Telephone | 8178468466 |
| Mailing Fax Number | 8172880958 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2018-05-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
25795 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 102647804 | 05 | |
| UT | AMERIGROUP | 1008109 | 01 |
| TX | 102647805 | 05 | |
| TX | BCBS | 8B8909 | 01 |
| TX | BCBS PROVIDER ID | 0077TH | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760005441 | Richard Johnson | Technician | 4614 G St Se, Washington, DC 20019-7833 | 2020-05-28 |
| 1639652423 | Richard Johnson | Counselor | 3203 Star Hill Rd, Mansfield, TX 76063-2375 | 2018-09-08 |
| 1831695113 | Richard A Johnson | Technician/Technologist | 6081 Route 96 Ste 8, Farmington, NY 14425-1062 | 2018-04-04 |
| 1346765138 | Richard Johnson Jr. | Driver | 502 Hazelhurst Ave, Richmond, VA 23222-2825 | 2017-08-14 |
| 1225416506 | Richard Johnson | Internal Medicine | 63 Cottonwood Ln, Briarcliff Manor, NY 10510-2140 | 2015-05-07 |
| 1407126519 | Richard Scott Johnson | Social Worker | 625 S 300 E, Brigham City, UT 84302-2910 | 2012-01-05 |
| 1538439641 | Richard Johnson | Respiratory Therapist, Certified | 9142 Wooded Hill Dr, Corona, CA 92883-9345 | 2012-01-05 |
| 1568698934 | Richard Benjamin Johnson | Anesthesiology | Emory Department of Anesthesiology, 1364 Clifton Road Ne. 3b South, Emory University Hosp, Atlanta, GA 30322-0001 | 2009-05-29 |
| 1538369400 | Richard Stanley Johnson | Internal Medicine | 10644 Old Hammock Way, Wellington, FL 33414 | 2007-07-19 |
| 1679782973 | Richard C Johnson | Denturist | 3720 6th Ave, Ste A, Tacoma, WA 98406-4938 | 2007-05-22 |
| Street Address |
3109 6TH AVE STE B |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76110-3800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013568914 | Feliz Family Medical Clinic Pllc | Nurse Practitioner | 3109 6th Ave, Fort Worth, TX 76110-3800 | 2019-09-23 |
| 1336685346 | Ashley Stafford | Social Worker | 3109 6th Ave, Fort Worth, TX 76110-3800 | 2017-01-13 |
| 1619342474 | Jolyn M Allen Pmhnp Pllc | Nurse Practitioner | 3109 6th Ave, Fort Worth, TX 76110-3800 | 2015-12-04 |
| 1225322282 | Dpmwelchonprtx LLC | Podiatrist | 3109 6th Ave, Suite B, Fort Worth, TX 76110-3800 | 2011-06-07 |
| 1922390558 | Cameron Blake Culver | Psychiatry & Neurology | 3109 6th Ave, Suite B, Fort Worth, TX 76110-3800 | 2011-05-16 |
| 1730111782 | Lawrence Warren | Podiatrist | 3109 6th Ave, Fort Worth, TX 76110-3800 | 2006-07-07 |
| 1407885353 | Lawrence Warren, D.p.m.,p.c. | Podiatrist | 3109 6th Ave, Fort Worth, TX 76110-3800 | 2006-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992177240 | Sarah Jones Midwifery | Midwife | 2260 5th Ave, Fort Worth, TX 76110 | 2015-10-27 |
| 1427371814 | Cenikor Foundation | Community/Behavioral Health | 2209 South Main Street, Fort Worth, TX 76110 | 2010-03-12 |
| 1225282320 | Ktv Dental, Pa | Dentist | 2717 8th Ave., Fort Worth, TX 76110 | 2008-11-17 |
| 1821291014 | Michael J Davis | Dentist | 1818 8th Avenue, Fort Worth, TX 76110 | 2007-06-06 |
| 1669513347 | Latoya Cherrell Carter | Counselor | 1814 8th Ave # B201, Fort Worth, TX 76110 | 2007-02-08 |
| 1659446771 | Christina Pey-ru Chou | Marriage & Family Therapist | 1616 Park Place Ave., Fort Worth, TX 76110 | 2006-11-22 |
| 1750461364 | Zera Inc | Home Health | 1050 Forest Park Blvd, Fort Worth, TX 76110 | 2006-10-17 |
| 1144300914 | Tai Anh Huynh | Optometrist | 1405 West Berry St, Fort Worth, TX 76110 | 2006-10-16 |
| 1871510784 | Robert T Keller Md & Assco Pa | Internal Medicine | 2751 Greenoaks Rd, Fort Worth, TX 76110 | 2006-07-16 |
| 1114906633 | The Womens Center of Tarrant County Inc | Clinic/Center | 1723 Hemphill, Fort Worth, TX 76110 | 2006-01-12 |
| Find all providers in zip 76110 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265931349 | Ramona Diane Burroughs | Psychologist | 855 Montgomery St Fl 4, Fort Worth, TX 76107-2553 | 2018-02-05 |
| 1689115438 | Hayley Blackwood | Psychologist | 15833 Bent Rose Way, Fort Worth, TX 76177 | 2017-03-13 |
| 1326582941 | David K. Carlson | Psychologist | 5112 Leeray Rd, Fort Worth, TX 76244-9233 | 2016-12-16 |
| 1639625171 | Mary Madison Eagle | Psychologist | 4837 Bryce Ave, Fort Worth, TX 76107-4144 | 2016-08-25 |
| 1831546944 | Kalima Charway | Psychologist | 4532 Endercrest Lane, Fort Worth, TX 76123 | 2016-05-18 |
| 1821332628 | Patricia Byrd | Psychologist | 3000 'j' Street, Fort Worth, TX 76127 | 2012-11-16 |
| 1629224068 | Daniel Rayner Altman | Psychologist | 1200 W Magnolia Ave, Suite 210, Fort Worth, TX 76104-4481 | 2008-08-18 |
| 1407027279 | Mary Cecilia Robertson | Psychologist | 6420 Southwest Blvd, Suite 112, Fort Worth, TX 76109 | 2008-03-19 |
| 1043429426 | Nichelle E. Wiggins | Psychologist | 3804 E Lancaster Ave, Fort Worth, TX 76103-3523 | 2007-05-22 |
| 1871718007 | George C. Denkowski | Psychologist | 1701 River Run Ste 1105, Fort Worth, TX 76107-6557 | 2007-04-14 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76110 |
Please comment or provide details below to improve the information on RICHARD EARL JOHNSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.