MARYGRACE JOHNSON (NPI# 1174066799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174066799 |
| Entity Type | Individual |
| Full Name | MARYGRACE JOHNSON |
| Credential | NP |
| Practice Address |
5115 80th St Lubbock TX 79424-3017 |
| Mailing Address |
Po Box 93128 Lubbock TX 79493-3128 |
| Practice Telephone | 8067884368 |
| Practice Fax Number | 8067884369 |
| Mailing Telephone | 8806788438 |
| Mailing Fax Number | 8067884369 |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2018-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP132557 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2412 50th St, Lubbock, TX 794122504 | 8067447223 | 8067403325 |
| Street Address |
5115 80TH ST |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79424-3017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295734424 | Houssam Al Kharrat | Internal Medicine | 5115 80th St, Lubbock, TX 79424-3017 | 2005-07-19 |
| 1942815964 | South Plains Pathology Inc | Clinical Medical Laboratory | 5115 80th St, Lubbock, TX 79424-3017 | 2020-09-15 |
| 1205494499 | Kevin Wayne Miller | Nurse Practitioner | 5115 80th St, Lubbock, TX 79424-3017 | 2019-06-03 |
| 1760957096 | South Plains Infusion, Inc | Clinic/Center | 5115 80th St, Lubbock, TX 79424-3017 | 2018-10-13 |
| 1174950869 | Gabriel August Leiker | Nurse Practitioner | 5115 80th St, Lubbock, TX 79424-3017 | 2013-09-26 |
| 1720299381 | West Texas Digestive Disease Center, Pa | Clinic/Center | 5115 80th St, Lubbock, TX 79424-3017 | 2007-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376158121 | West Texas H.a.n.d. Pllc | Surgery | 5613 114th St, Lubbock, TX 79424 | 2020-09-09 |
| 1811519044 | H-e-b, Lp | Clinical Medical Laboratory | 4405 114th Street, Lubbock, TX 79424 | 2020-05-11 |
| 1184245573 | Jim Lee Lowrance | Chiropractor | 5152 69th Suite 101, Suite 101 Box #2, Lubbock, TX 79424 | 2020-04-27 |
| 1134787377 | April Denise Gardea | Speech-Language Pathologist | 6502 Slide Road Suite 204, Lubbock, TX 79424 | 2019-06-03 |
| 1215590658 | April Dawn Fortner | Counselor | 7617 86th St., Lubbock, TX 79424 | 2019-04-22 |
| 1427514561 | Thornhill Healthcare II, Inc. | Pharmacy | 6823 82nd St, Suite 600, Lubbock, TX 79424 | 2019-02-13 |
| 1174001358 | Emily Cowell | Technician, Other | 6102 82nd St Ste 10, Lubbock, TX 79424 | 2018-07-31 |
| 1043718786 | Edward Murphy | Pharmacist | 8702 Toledo Ave, Lubbock, TX 79424 | 2018-01-29 |
| 1013434364 | Yung Ling Tsai | Specialist/Technologist | 4707 116th Street, Lubbock, TX 79424 | 2017-08-28 |
| 1285187237 | Wter Quaker, Lp | Clinic/Center | 10205 Quaker Ave, Lubbock, TX 79424 | 2016-07-26 |
| Find all providers in zip 79424 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861027989 | Stephanie S Brown | Nurse Practitioner | 4511 University Ave Ste B, Lubbock, TX 79413-3725 | 2020-03-09 |
| 1164067393 | Geriatric Telemedicine and Oncall Consultants LLC. | Nurse Practitioner | 222 Genoa Ave, Lubbock, TX 79416-1708 | 2019-11-12 |
| 1033674932 | Kimberly Melcher | Nurse Practitioner | 3601 4th Ortho, Lubbock, TX 79430-0001 | 2019-02-05 |
| 1770020703 | Patrick Joe Ochoa | Nurse Practitioner | 2129 57th St, Lubbock, TX 79412-2625 | 2017-01-29 |
| 1770909665 | Jennifer Skero | Nurse Practitioner | 10208 Quaker Ave, Lubbock, TX 79424-8394 | 2014-03-15 |
| 1346547627 | Shirley Ann Mcreynolds | Nurse Practitioner | 6034 68th St, Lubbock, TX 79424-2933 | 2011-02-22 |
| 1659301471 | Traci Rodriguez | Nurse Practitioner | 1902 50th St, Lubbock, TX 79412-2706 | 2006-07-04 |
| 1356385504 | Warden Lamar Palmer | Nurse Practitioner | 1802 E 50th St, Suite 104, Lubbock, TX 79404 | 2006-06-16 |
| 1063478527 | Kimberly Billingsley | Nurse Practitioner | 3502 9th St Ste 110, Lubbock, TX 79415-3367 | 2006-04-25 |
| 1053377531 | Melinda Chavez | Nurse Practitioner | 4321 Marsha Sharp Freeway, Door #1, Lubbock, TX 79407-2504 | 2006-04-25 |
| Find all providers in LUBBOCK | ||||
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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.