DAMARIS JOHNSON (NPI# 1508347659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508347659 |
| Entity Type | Individual |
| Full Name | DAMARIS JOHNSON |
| Practice Address |
4055 Valley View Ln Dallas TX 75244-5074 |
| Practice Telephone | 9727153800 |
| Mailing Telephone | 9727153800 |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2018-08-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
2018014785 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295116812 | Damaris Johnson | Marriage & Family Therapist | 3355 Lenox Dr., Suite 750, Atlanta, GA 30326 | 2015-06-10 |
| Street Address |
4055 VALLEY VIEW LN |
| City | DALLAS |
| State | TX |
| Zip Code | 75244-5074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730188640 | Michael L Gregg | Radiology | 4055 Valley View Ln, Dallas, TX 75244-5074 | 2005-07-21 |
| 1023625662 | Signify Health Medical Associates of Colorado, Pllc. | Clinic/Center | 4055 Valley View Ln, Dallas, TX 75244-5074 | 2020-09-28 |
| 1912512096 | Kaitlin M Keeney | Nurse Practitioner | 4055 Valley View Ln, Dallas, TX 75244-5074 | 2020-09-15 |
| 1093342669 | Sabrina Patrice Butler | Registered Nurse | 4055 Valley View Ln, Dallas, TX 75244-5074 | 2020-03-24 |
| 1710519442 | Yvonne Ayuk | Nurse Practitioner | 4055 Valley View Ln, Dallas, TX 75244-5074 | 2020-02-11 |
| 1699315622 | Micki L. Hayden | Nurse Practitioner | 4055 Valley View Ln, Dallas, TX 75244-5074 | 2020-01-07 |
| 1093353203 | Virgil Vapona Flint | Nurse Practitioner | 4055 Valley View Ln, Dallas, TX 75244-5074 | 2019-12-18 |
| 1700424207 | Jennisha Uduezue | Nurse Practitioner | 4055 Valley View Ln, Dallas, TX 75244-5074 | 2019-12-16 |
| 1114578937 | Alberto Pedraza | Nurse Practitioner | 4055 Valley View Ln, Dallas, TX 75244-5074 | 2019-09-23 |
| 1578113619 | Kaia Luke | Nurse Practitioner | 4055 Valley View Ln, Dallas, TX 75244-5074 | 2019-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316561194 | Kevin Goodnight | Behavioral Analyst | 4230 Sigma Road, Dallas, TX 75244 | 2020-06-08 |
| 1851941413 | Medi-wheels, LLC | Durable Medical Equipment & Medical Supplies | 5005 Lbj Freeway, Ste. 840, Dallas, TX 75244 | 2019-09-16 |
| 1972157436 | Samantha Lograsso | Nurse Practitioner | 4055 Valley View Ln Suite 400, Dallas, TX 75244 | 2019-08-01 |
| 1205313780 | Cherae Ashland Burton | Licensed Vocational Nurse | 4099 Mcewen Rd., Farmers Branch, TX 75244 | 2018-07-26 |
| 1700383197 | Melissa Fitts | Behavioral Analyst | 13604 Midway Rd. #180, Farmers Branch, TX 75244 | 2018-04-11 |
| 1932607983 | Vcphcs, Lp | Clinic/Center | 5001 Spring Valley Road, Suite 600 East, Dallas, TX 75244 | 2018-01-24 |
| 1518406636 | Gentech Laboratories LLC | Clinical Medical Laboratory | 4403 N. Beltwood Parkway, Suite 300, Dallas, TX 75244 | 2017-02-22 |
| 1881045680 | Innovative Lifeskills Training Center LLC | Preferred Provider Organization | 5001 Spring Valley, Towers East Ste 400, Dallas, TX 75244 | 2016-06-23 |
| 1376992792 | Lynnlie Tuschoff | Registered Nurse | 4099 Mcewen, Suite 250, Farmers Brach, TX 75244 | 2016-06-07 |
| 1609223072 | Debra Jules | Licensed Vocational Nurse | 4099 Mcewen Road, Dallas, TX 75244 | 2016-05-16 |
| Find all providers in zip 75244 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063969459 | Nrs, Inc | Nurse Practitioner | 1705 Martin Luther King Jr Blvd Ste C, Dallas, TX 75215-3223 | 2016-09-02 |
| 1851797294 | Annette Moncion | Nurse Practitioner | 32 Midland Lane, Dallas, GA 30157 | 2014-11-12 |
| 1952728636 | Derrick Micah Love-jones | Nurse Practitioner | 1705 Martin Luther King Jr Blvd, Suite C, Dallas, TX 75215-3222 | 2014-03-19 |
| 1932719606 | Jenny Garner Tharp | Nurse Practitioner | 4055 Valley View Ln Ste 400, Dallas, TX 75244-5071 | 2020-08-06 |
| 1386272466 | Asha Y Dwumfour-poku | Nurse Practitioner | 5200 Harry Hines Blvd, Dallas, TX 75235-7709 | 2020-04-01 |
| 1689211963 | Callie Lauren Harris | Nurse Practitioner | 5200 Harry Hines Blvd, Dallas, TX 75235-7709 | 2019-12-05 |
| 1891332656 | Sharonda Ransom | Nurse Practitioner | 1411 N Beckley Ave Ste 352, Dallas, TX 75203-1270 | 2019-11-28 |
| 1740824473 | Sandra Carranza | Nurse Practitioner | 7777 Forest Ln Ste C650, Dallas, TX 75230-6867 | 2019-11-06 |
| 1700348836 | Kathryn Nicole Aubuchon | Nurse Practitioner | 3417 Gaston Ave Ste 1100, Dallas, TX 75246-2037 | 2019-04-06 |
| 1437610334 | Victorian Healthcare | Nurse Practitioner | 2602 Martin Luther King Jr Blvd, Dallas, TX 75215-2309 | 2019-03-25 |
| Find all providers in DALLAS | ||||
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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.