BRENDA L JOHNSON (NPI# 1538319587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538319587 |
| Entity Type | Individual |
| Full Name | BRENDA L JOHNSON |
| Credential | PA |
| Practice Address |
3705 W 15th St Plano TX 75075-7753 |
| Mailing Address |
Po Box 911230 Dallas TX 75391-1230 |
| Practice Telephone | 9728673577 |
| Practice Fax Number | 9729859433 |
| Mailing Telephone | 9729978000 |
| Mailing Fax Number | 9722340813 |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2017-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA05858 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 297908005 | 05 | |
| TX | BCBS | 8100NR | 01 |
| TX | 297908003 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962041681 | Brenda L Johnson | Dietitian, Registered | 12383 S 78th St, Papillion, NE 68046-4765 | 2019-12-28 |
| 1700423829 | Brenda Johnson | Massage Therapist | 2375 Professional Heights Dr Ste 260, Lexington, KY 40503-3040 | 2019-12-09 |
| 1255990206 | Brenda L. Johnson | Licensed Practical Nurse | 6412 Baragon Hill Rd, Friendship, NY 14739-8668 | 2019-06-12 |
| 1679052120 | Brenda Johnson | Counselor | 4025 Towne Crossing Blvd Apt 1706, Mesquite, TX 75150 | 2018-08-07 |
| 1053866830 | Brenda Demetrius Johnson | Nurse's Aide | 1114 S Springinsguth Rd Apt 2b, Schaumburg, IL 60193-3463 | 2016-08-22 |
| 1437502853 | Brenda Johnson | Social Worker | 3720 Chuck Wagon Rd, Cheyenne, WY 82009-9418 | 2016-07-20 |
| 1740683499 | Brenda Sue Johnson | Physician Assistant | 8233 Fredericksburg Road, San Antonio, TX 78229 | 2014-10-08 |
| 1417377490 | Brenda Shaye Johnson | Respite Care | 10216 Juniper Creek Ln, Las Vegas, NV 89145 | 2014-04-17 |
| 1942633276 | Brenda Lee Johnson | Foster Care Agency | 308 Sw. Shelby Avenue, Madison, FL 32340-2334 | 2013-08-09 |
| 1568803880 | Brenda Johnson | Massage Therapist | 1788 Broad St, Cranston, RI 02905-3520 | 2013-07-15 |
| Street Address |
3705 W 15TH ST |
| City | PLANO |
| State | TX |
| Zip Code | 75075-7753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356380711 | Khusroo Mohammad Qureshi | Internal Medicine | 3705 W 15th St, Plano, TX 75075-7753 | 2006-06-04 |
| 1033747563 | Maria Roxana Timis | Nurse Practitioner | 3705 W 15th St, Plano, TX 75075-7753 | 2020-03-30 |
| 1982775540 | James Richard Schwartz | Pharmacist | 3705 W 15th St, Plano, TX 75075-7753 | 2006-11-13 |
| 1538239868 | James S Gallman | Pharmacist | 3705 W 15th St, Plano, TX 75075-7753 | 2006-11-08 |
| 1912928029 | Oncology Pharmacy Services, Inc | Durable Medical Equipment & Medical Supplies | 3705 W 15th St, Plano, TX 75075-7753 | 2006-07-22 |
| 1104869544 | Robert Lewis Kirby | Internal Medicine | 3705 W 15th St, Plano, TX 75075-7753 | 2006-06-14 |
| 1801839758 | Christopher Thomas Stokoe | Internal Medicine | 3705 W 15th St, Plano, TX 75075-7753 | 2006-06-14 |
| 1538102934 | Charles Keith Connor | Internal Medicine | 3705 W 15th St, Plano, TX 75075-7753 | 2006-06-14 |
| 1467494690 | Scott Andrew Stone | Internal Medicine | 3705 W 15th St, Plano, TX 75075-7753 | 2006-06-12 |
| 1154363117 | Jeffrey Evan Greenberg | Radiology | 3705 W 15th St, Plano, TX 75075-7753 | 2006-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861027120 | North Star Mcd, LLC | Clinic/Center | 3700 W 15th St Bldg D Ste 200, Plano, TX 75075 | 2020-03-06 |
| 1558991364 | Pinner Hio Chiropractic, Inc | Chiropractor | 3801 George Bush Turnpike, Ste 130, Plano, TX 75075 | 2020-01-21 |
| 1396214052 | Tu Cam Bui Forkner | Physician Assistant | 3804 W 15th St Ste 140, Plano, TX 75075 | 2018-11-24 |
| 1033691498 | Jane Njeri Muchiri | Licensed Vocational Nurse | 1255 West 15th Street Suite1025, Plano, TX 75075 | 2018-09-02 |
| 1548742976 | Bethany Noelle Bell | Speech-Language Pathologist | 1255 W 15th Street Suite 1025, Plano, TX 75075 | 2018-09-01 |
| 1639650302 | Olufunke Oloyede | Licensed Vocational Nurse | 1255 W 15th St Ste 1205, Plano, TX 75075 | 2018-08-22 |
| 1679053995 | Healthrx Pharmacy LLC | Pharmacy | 2235 W 15th St, Plano, TX 75075 | 2018-08-16 |
| 1134606593 | Lauren Scurry | Speech-Language Pathologist | 2809 Hunters Creek, Plano, TX 75075 | 2018-07-27 |
| 1740767946 | Barikat Aruna Oderinde | Nurse Practitioner | 804 Edmonton Dr, Plano, TX 75075 | 2018-07-20 |
| 1932685302 | Surgical Anesthesia Consultants, Pllc | Anesthesiology | 2419 Coit Road, Suite B, Plano, TX 75075 | 2018-07-18 |
| Find all providers in zip 75075 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508472697 | Amna Dhanani | Physician Assistant | 2100 Hedgcoxe Rd Ste 140, Plano, TX 75025-3100 | 2020-09-23 |
| 1538717582 | Jenna Kelly | Physician Assistant | 3408 Walington Dr, Plano, TX 75093-7447 | 2019-09-03 |
| 1568016137 | Virtex Assist, Pllc | Physician Assistant | 101 E Park Blvd Suite 600, Plano, TX 75074 | 2019-07-31 |
| 1275199002 | The Kim Tran | Physician Assistant | 6130 W Parker Rd Ste 103, Plano, TX 75093-7910 | 2019-05-16 |
| 1619433315 | Jennifer Perez | Physician Assistant | 1700 Alma Dr Ste 450, Plano, TX 75075-6986 | 2019-02-18 |
| 1396214052 | Tu Cam Bui Forkner | Physician Assistant | 3804 W 15th St Ste 140, Plano, TX 75075 | 2018-11-24 |
| 1821567678 | Collaborative Surgical Services, Pllc | Physician Assistant | 2024 W 15th St Ste F #328, Plano, TX 75075-7364 | 2018-11-21 |
| 1528540366 | Christen Leah Reamy | Physician Assistant | 3809 W 15th St Ste A, Plano, TX 75075-7765 | 2018-08-29 |
| 1568965051 | Vital Assistance, Pllc | Physician Assistant | 2024 W 15th St Ste F # 327, Plano, TX 75075-7364 | 2018-03-12 |
| 1609313139 | Kristen Ann Walls | Physician Assistant | 4001 W 15th St Ste 100, Plano, TX 75093-5837 | 2017-01-23 |
| Find all providers in PLANO | ||||
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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.