SHEARREN JOHNSON (NPI# 1528600574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528600574 |
| Entity Type | Individual |
| Full Name | SHEARREN JOHNSON |
| Practice Address |
2162 Us Highway 259 S Diana TX 75640-3510 |
| Mailing Address |
306 E Young St Longview TX 75602-1114 |
| Practice Telephone | 9036632055 |
| Mailing Telephone | 9032412233 |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2019-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
AP143436 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
2162 US HIGHWAY 259 S |
| City | DIANA |
| State | TX |
| Zip Code | 75640-3510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629688023 | March Ellen Gray | Registered Nurse | 2162 Us Highway 259 S, Diana, TX 75640 | 2020-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033603097 | Teresa M Phillips | Physical Therapy Assistant | 14145 State Highway 154 E, Diana, TX 75640 | 2018-06-21 |
| 1326402280 | Crystal Whitfield | Specialist/Technologist | 119 Grace Ln, Diana, TX 75640 | 2016-04-07 |
| 1942343322 | New Diana Isd | Local Education Agency (LEA) | 1373 Us Hwy 259 S, Diana, TX 75640-2651 | 2007-02-15 |
| 1215407416 | Candy Renita Scott | Counselor | 2815 Yellow Rose Rd, Diana, TX 75640-2698 | 2018-11-29 |
| 1962772509 | Philippa A Donaghy | Physical Therapist | 2777 Zinnia Rd, Diana, TX 75640-3019 | 2012-01-12 |
| 1376175653 | Stormi Breann Waddell | Registered Nurse | 12304 Blackman Rd, Diana, TX 75640-3421 | 2020-02-05 |
| 1841691649 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 1787 Us Highway 259 S, Diana, TX 75640-3503 | 2014-09-11 |
| 1841823176 | Alexis Christine Ormes | Naturopath | 10323 State Highway 154 E, Diana, TX 75640-3698 | 2020-02-14 |
| 1407460173 | Jennifer Kay Dyess | Licensed Vocational Nurse | 7349 Simmons Rd, Diana, TX 75640-3905 | 2020-09-01 |
| 1164086245 | Divine Grace Pharmacy LLC | Pharmacist | 1970 Us Highway 259 S # 100, Diana, TX 75640-4037 | 2019-04-24 |
| Find all providers in zip 75640 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720686496 | Hill Country Health Pllc | Family Medicine | 1010 Ranch Road 620 S Ste 107, Lakeway, TX 78734-5638 | 2020-10-14 |
| 1174139471 | Stacie Leann Herring | Family Medicine | 1300 Tx-107, La Villa, TX 78562 | 2020-09-22 |
| 1336753508 | Woodlands Diagnostic Clinic, Pa | Family Medicine | 9201 Pinecroft Dr Ste 200, Shenandoah, TX 77380-3889 | 2020-09-03 |
| 1932738465 | Arlington Integrative Medicine LLC | Family Medicine | 1420 N Cooper St Ste 109, Arlington, TX 76011-8530 | 2020-04-06 |
| 1396379772 | Heights Total Wellness Clinic, Pllc | Family Medicine | 1801 Durham Dr Ste 4, Houston, TX 77007-2272 | 2020-02-25 |
| 1063043271 | Katie Lianne Jubala | Family Medicine | 129 Park Place Cir, Iowa Park, TX 76367-1064 | 2020-01-28 |
| 1558909879 | Forrest Duane Giles | Family Medicine | 152 Mcvoid Rd, Springtown, TX 76082-5929 | 2019-12-17 |
| 1710525225 | Mary Osawe | Family Medicine | 1308 Winecup Ct, Allen, TX 75002-0983 | 2019-12-16 |
| 1609411735 | Sara E Bellard | Family Medicine | 4735 Ridgewood Ave, Port Arthur, TX 77642-6612 | 2019-11-13 |
| 1518508191 | Elisabeth Blank | Family Medicine | 6633 E Hwy 290 Ste 300, Austin, TX 78723-1158 | 2019-10-04 |
| Find all providers with the same taxonomy | ||||
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| 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.