SHAKIRA A. JOHNSON (NPI# 1932109311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932109311 |
| Entity Type | Individual |
| Full Name | SHAKIRA A. JOHNSON |
| Credential | PA-C |
| Practice Address |
9202 Elam Rd Southeast Dallas Health Center Dallas TX 75217-4151 |
| Mailing Address |
Po Box 660599 Dallas TX 75266-0599 |
| Practice Telephone | 2142661600 |
| Practice Fax Number | 2142661790 |
| Enumeration Date | 2005-07-27 |
| Last Update Date | 2009-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA03607 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 179551001 | 05 | |
| TX | BLUE CROSS BLUE SHIELD | 8N7735 | 01 |
| TX | 179551003 | 05 | |
| TX | 179551002 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558824128 | Shakira Simone Johnson | Behavior Technician | 16410 Bloomfield Ave Ste B, Cerritos, CA 90703-2144 | 2019-04-10 |
| Street Address |
9202 ELAM RD SOUTHEAST DALLAS HEALTH CENTER |
| City | DALLAS |
| State | TX |
| Zip Code | 75217-4151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144225822 | Robert Lorin Cantrell | Family Medicine | 9202 Elam Rd, Southeast Dallas Health Center, Dallas, TX 75217-4151 | 2005-06-17 |
| 1467005686 | Mary Katherine Cleveland | Dentist | 9202 Elam Rd, Dallas, TX 75217-4151 | 2019-07-17 |
| 1114406816 | Norma Harper Hernandez | Social Worker | 9202 Elam Rd, Dallas, TX 75217-4151 | 2018-08-13 |
| 1154780245 | Dallas County Hospital District | Social Worker | 9202 Elam Rd, Suite 210, Dallas, TX 75217-4151 | 2016-02-17 |
| 1558729871 | Bravo Dental | Dentist | 9202 Elam Rd, Dallas, TX 75217-4151 | 2016-02-01 |
| 1790176493 | Lasteshia Nicole Ekeocha | Nurse Practitioner | 9202 Elam Rd, Women's Health Center, Dallas, TX 75217-4151 | 2015-02-17 |
| 1235520792 | Kyanna Silas | Nurse Practitioner | 9202 Elam Rd, Dallas, TX 75217-4151 | 2015-02-05 |
| 1205127834 | Essence N. Johnson | Optometrist | 9202 Elam Rd, Suite 240, Dallas, TX 75217-4151 | 2011-05-01 |
| 1619273661 | Andrew Leonard Moran | Counselor | 9202 Elam Rd, Dallas, TX 75217-4151 | 2011-02-08 |
| 1639498371 | Asma Ashraf | Family Medicine | 9202 Elam Rd, Suite 330, Dallas, TX 75217-4151 | 2010-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437708682 | Nancy Sutton | Technician | 9335 Homeplace Dr, Dallas, TX 75217 | 2019-09-10 |
| 1194135236 | Phat Dien Truong | Student in an Organized Health Care Education/Training Program | 9709 Bruton Rd., Dallas, TX 75217 | 2014-04-29 |
| 1083039226 | Passage of Youth Family Center, Inc. | Exclusive Provider Organization | 1623 Riverway, Dallas, TX 75217 | 2014-02-25 |
| 1649511270 | First Class Motors Inc. | Private Vehicle | 7710 Great Trinity Forest Way #k, Dallas, TX 75217 | 2013-03-06 |
| 1588969893 | Happy Teeth Dental Centers of Dallas PC | Dentist | 2020 N Masters Dr Suite #100, Dallas, TX 75217 | 2011-01-18 |
| 1891934899 | Shapa Inc | Pharmacy | 9415 Bruton Rd, Ste 3103, Dallas, TX 75217 | 2009-02-13 |
| 1033364450 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 10152 Lake June Rd, Dallas, TX 75217 | 2008-11-26 |
| 1326268533 | Eyad K. Mahrouq | Pharmacist | 1515 S. Buckner Blvd #301, Dallas, TX 75217 | 2007-04-27 |
| 1598886822 | Lake June Medical Center, P.a. | Family Medicine | 7716 Lake June Road, Dallas, TX 75217 | 2007-04-03 |
| 1194869636 | Barbara Jean Cole | Assisted Living Facility | 1364 Gillette St, Dallas, TX 75217 | 2007-02-17 |
| Find all providers in zip 75217 | ||||
| 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 |
|---|---|---|---|---|
| 1932700440 | Heather Weir | Physician Assistant | 7331 Gaston Ave Ste 180, Dallas, TX 75214-4131 | 2020-11-03 |
| 1225643562 | Yermiahu Levi Sarne | Physician Assistant | 6206 Preston Crest Ln, Dallas, TX 75230-1828 | 2020-09-14 |
| 1255945564 | Amanda Michelle Flores | Physician Assistant | 1801 Young St, Dallas, TX 75201 | 2020-09-03 |
| 1275151102 | Kelly Ashworth | Physician Assistant | 7331 Gaston Ave # 180, Dallas, TX 75214-4131 | 2020-07-07 |
| 1780201715 | Gabriela Yvonne Camacho | Physician Assistant | 7331 Gaston Ave Unit 180, Dallas, TX 75214-4131 | 2020-06-25 |
| 1346879699 | Ws Neuroassist, Pllc | Physician Assistant | 7324 Gaston Ave Ste 124-80, Dallas, TX 75214-6126 | 2020-04-07 |
| 1265065122 | Sarah Bell Stewart | Physician Assistant | 7811 Bryn Mawr Dr, Dallas, TX 75225-8217 | 2020-02-19 |
| 1093348237 | Meagan Lee Barry | Physician Assistant | 221 W Colorado Blvd Ste 431, Dallas, TX 75208-2312 | 2020-02-17 |
| 1245863554 | Melissa Ann Johnston | Physician Assistant | 4373 Boca Bay Dr, Dallas, TX 75244-7408 | 2020-02-14 |
| 1205479607 | Mj Surgical, Pllc | Physician Assistant | 1408 N Riverfront Blvd # 906, Dallas, TX 75207-3912 | 2019-10-18 |
| Find all providers in DALLAS | ||||
Please comment or provide details below to improve the information on SHAKIRA A. 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.