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MITCHELL JOHNSON
NPI 1003603465
Student in an Organized Health Care Education/Training Program in Fort Worth, TX

Active since April 21, 2025
1500 S MAIN ST, FORT WORTH, TX 76104(817) 702-1100 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mitchell Johnson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MITCHELL JOHNSON (NPI 1003603465) is an individual student in an organized health care education/training program in Fort Worth, Texas and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1003603465
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMITCHELL JOHNSON
Location Address1500 S MAIN STFort Worth, TX 76104-4917
Mailing Address1500 S Main StFort Worth, TX 76104-4917
Phone(817) 702-1100
Sole ProprietorNo
Enumeration DateApril 21, 2025
NPPES CertifiedApril 21, 2025
✔ NPI 1003603465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1500 S MAIN ST, Fort Worth, TX 76104
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JONATHAN A LAZARINI MD
Family Medicine
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (903) 353-2265
ALLYSON EVANS
Nurse Anesthetist, Certified Registered
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (801) 792-5267
DR. TREVOR A JOHNSON MD
Family Medicine
1500 S MAIN ST
FT WORTH, TX 76104
Tarrant County (817) 702-3431
DR. LELIA ERRETT WILLIAMS MD
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-1244
RIDDHI RANE MD
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-6500
DR. JOANE BAUMER M.D.
Family Medicine
1500 S MAIN ST, FAMILY MEDICINE CENTER
FORT WORTH, TX 76104
Tarrant County (817) 335-1034
SHARYL WORKMAN PA
Physician Assistant
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 927-1100
JUSAN GALARZA MD
Pediatrics
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 921-3431

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mitchell Johnson's NPI number?

The NPI number for Mitchell Johnson is 1003603465. It was assigned to this individual provider in the NPPES registry on April 21, 2025.

Where is Mitchell Johnson located?

Mitchell Johnson practices at 1500 S Main St, Fort Worth, TX 76104. The listed phone number is (817) 702-1100.

What is Mitchell Johnson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mitchell Johnson was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.