| NPI | 1295821486 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-10-05 |
| Last Updated | 2021-06-09 |
| Mailing Address | 11511 Shadow Creek Pkwy Pearland, TX 77584-7298 United States Phone: (713) 442-0000 📍 View Map |
| Primary Practice Address | 25553 Us Highway 59 Porter, TX 77365-5500 United States Phone: (713) 442-2100 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | TX | 176064703 | - |
| MEDICAID | TX | 176064704 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 208000000X – Pediatrics | TX | M1404 |
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About NPI 1295821486
Jakeen Williams Johnson MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1295821486. The primary specialty listed is Pediatrics. The provider is located in Porter, TX. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-10-05. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1295821486?
NPI 1295821486 belongs to Jakeen Williams Johnson MD, a Pediatrics in Porter, TX. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1295821486 active?
The current status of NPI 1295821486 in the NPPES registry is Active. The record was last updated on 2021-06-09.
What specialty is NPI 1295821486?
NPI 1295821486 is classified under the taxonomy Pediatrics. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1295821486?
You can verify NPI 1295821486 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1295821486?
The primary practice address on file for NPI 1295821486 is 25553 Us Highway 59, Porter, TX 77365-5500. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1295821486 issued?
NPI 1295821486 was first issued (enumerated) on 2006-10-05. The NPPES record was last updated on 2021-06-09.
Practice Location Map
Jakeen Williams Johnson is located at 25553 Us Highway 59, Porter, TX. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Jakeen Williams Johnson. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1295821486. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pediatrics | M1404 | TX |