Tiara Johnson, RN is a
Case Manager/care Coordinator based in Ponder, Texas. Tiara Johnson is licensed to practice in Texas (license number 945325) and her current practice location is
1177 Plover Cir, Ponder, Texas. She can be reached at her office (for appointments etc.) via phone at
(972) 567-1034.
NPI number for Tiara Johnson is 1417796483 and her current mailing address is Po Box 664, Frisco, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417796483.
Provider's Profile
Full Name | Tiara Johnson |
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Gender | Female |
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Speciality | Case Manager/care Coordinator |
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Location | 1177 Plover Cir, Ponder, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417796483
- Provider Enumeration Date: 05/21/2024
- Last Update Date: 10/10/2024
Medical Identifiers
Medical identifiers for Tiara Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417796483 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 945325 (Texas) | Secondary |
163WC0400X | Registered Nurse - Case Management | 945325 (Texas) | Secondary |
163WW0101X | Registered Nurse - Women's Health Care, Ambulatory | 945325 (Texas) | Secondary |
171M00000X | Case Manager/care Coordinator | 945325 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tiara Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tiara Johnson, RN Po Box 664, Frisco, TX 75034-0012 Ph: () - | Tiara Johnson, RN 1177 Plover Cir, Ponder, TX 76259-5473 Ph: (972) 567-1034 |
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