AUDREY ELIZABETH JOHNSON (NPI# 1821230392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821230392 |
| Entity Type | Individual |
| Full Name | AUDREY ELIZABETH JOHNSON |
| Credential | M.D. |
| Practice Address |
4300 W University Dr Ste 10 Prosper TX 75078-9806 |
| Mailing Address |
Po Box 733784 Dallas TX 75373-3784 |
| Practice Telephone | 6823038050 |
| Mailing Telephone | 6828851855 |
| Mailing Fax Number | 6828851396 |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2019-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | P2877 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 300069701 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730518630 | Audrey Johnson | Nurse's Aide | 2939 E 123rd St, Cleveland, OH 44120-2665 | 2013-11-01 |
| 1972118610 | Audrey Johnson | Physical Therapist | 646 E Broadway Blvd, Jefferson City, TN 37760-4900 | 2020-09-10 |
| 1699314930 | Audrey Johnson | Behavior Technician | 7949 California Ave Ste 15, Fair Oaks, CA 95628-7156 | 2020-01-03 |
| 1053899120 | Audrey Lynn Johnson | Counselor | 9738 Lincoln Village Dr, Sacramento, CA 95827 | 2018-08-01 |
| 1902261662 | Audrey Boller Johnson | Contractor | 713 Alfonso St, Pensacola, FL 32505 | 2015-12-23 |
| 1194105437 | Audrey Gill Johnson | Psychologist | 1 Va Ctr, Augusta, ME 04330-6719 | 2015-06-02 |
| 1750614442 | Audrey Sue Johnson | Marriage & Family Therapist | 23632 Calabasas Rd, Suite 103, Calabasas, CA 91302-1553 | 2009-09-11 |
| 1942464516 | Audrey Fay Johnson | Registered Nurse | 8901 W Lincoln Ave, Diabetes Ed, West Allis, WI 53227-2409 | 2008-07-14 |
| 1760654164 | Audrey M Johnson | Physical Therapist | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2008-03-26 |
| 1679795736 | Audrey Johnson | Counselor | 840 Interstate Dr, Grayson, KY 41143-1768 | 2007-05-02 |
| Street Address |
4300 W UNIVERSITY DR STE 10 |
| City | PROSPER |
| State | TX |
| Zip Code | 75078-9806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932734936 | Qnpham, Pllc | Optometrist | 4940 W. University Dr, Prosper, TX 75078 | 2020-03-10 |
| 1518592005 | Ferrari Orthodontics Pllc | Dentist | 1921 N Preston Rd, Proper, TX 75078 | 2020-03-05 |
| 1629538814 | 380 Smiles Pllc | Clinic/Center | 4940 W. University Dr., Suite 40, Prosper, TX 75078 | 2019-03-22 |
| 1558849158 | Samuel Oh Dmd Pllc | Dentist | 17569 Fishtrap Rd, Ste 80, Prosper, TX 75078 | 2018-08-06 |
| 1003303736 | National Vision, Inc. | Technician/Technologist | 871 South Preston Road, Prosper, TX 75078 | 2018-04-18 |
| 1265934749 | Lumincare Physician Group, Pa | Family Medicine | 1000 North Preston Road Suite 60, Prosper, TX 75078 | 2018-03-01 |
| 1164948436 | Dental Office of Prosper,pc | Dentist | 1180 N Preston Rd Suite 20, Prosper, TX 75078 | 2017-08-18 |
| 1750805602 | Texas Dental Surgery | Dentist | 1180 N Coit Rd Ste 40, Prosper, TX 75078 | 2017-08-02 |
| 1285168039 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 500 Richland Boulevard, Prosper, TX 75078 | 2017-04-19 |
| 1679024897 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 2451 E. University Drive, Prosper, TX 75078 | 2016-10-24 |
| Find all providers in zip 75078 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326572835 | Xin Ya Chuong | Pediatrics | 1350 N Preston Rd, Prosper, TX 75078-9828 | 2017-04-12 |
| 1396038881 | Halley Hogan | Pediatrics | 1350 N Preston Rd Ste 40, Prosper, TX 75078-9615 | 2011-05-17 |
| 1366602344 | Scott Chowning | Pediatrics | 1000 N Preston Rd, Suite 20, Prosper, TX 75078-8889 | 2008-06-12 |
| 1023280039 | Vicki P Moore | Pediatrics | 1451 Brush Creek Rd, Prosper, TX 75078-7057 | 2008-03-31 |
| 1932176625 | Emmette A Clark | Pediatrics | 460 Hidden Lake Dr, Prosper, TX 75078-8784 | 2006-03-02 |
| 1003373887 | Cook Children's Medical Center | Pediatrics | 4300 W University Dr, Prosper, TX 75078-9806 | 2019-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366635 | Colleen Jaurequi | Pediatrics | 309 Shepards Hill Dr, Rockwall, TX 75087-2850 | 2020-11-05 |
| 1114526050 | 915 Pediatrics Pllc | Pediatrics | 3261 Joe Battle Blvd, El Paso, TX 79936-1156 | 2020-10-21 |
| 1114525532 | Springs Pediatrics Associates Pllc | Pediatrics | 201 Oak Dr S Ste 202, Lake Jackson, TX 77566-5627 | 2020-10-16 |
| 1619575487 | Sreebhavi Professional Corporation | Pediatrics | 340 Hawkins Run Rd, Midlothian, TX 76065-6638 | 2020-10-14 |
| 1588262695 | Buttercup Pediatrics Pllc | Pediatrics | 27524 Westridge Creek Ln Ste D, Katy, TX 77494-5290 | 2020-10-12 |
| 1851908131 | Cesar A Ortega Md Pa | Pediatrics | 3309 Orlando St, Houston, TX 77093-4854 | 2020-09-30 |
| 1992310973 | Fernando Castaneda Md Pa | Pediatrics | 4151 Jaime Zapata Hwy Suite 102, Laredo, TX 78043 | 2020-09-15 |
| 1497368591 | Tch Pediatrics Inc | Pediatrics | 4207 James Casey St Ste 111, Austin, TX 78745-3362 | 2020-08-28 |
| 1356951735 | Central Texas Diabetes & Wellness Institute | Pediatrics | 8428 Bandera Rd Ste 2, San Antonio, TX 78250-2514 | 2020-07-31 |
| 1306455530 | Z-pediatrics Pllc | Pediatrics | 5886 Dezavala Rd Suite 101 #510, San Antonio, TX 78249 | 2020-07-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on AUDREY ELIZABETH 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.