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MS. NEDRA JOHNSON
NPI 1265941512
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Dallas, TX

Active since September 28, 2017
5409 N JIM MILLER RD STE 211, DALLAS, TX 75227(214) 280-0379(214) 817-2571 Get Directions Write a Review

NPPES record last updated: January 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 13, 2023, Sep 29, 2022, May 11, 2021 and 1 more (4 updates tracked since 2020).

About Ms. Nedra Johnson NPPES

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

MS. NEDRA JOHNSON (NPI 1265941512) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Dallas, Texas and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1265941512
Entity TypeIndividualFemale
Primary Taxonomy320900000X
Provider Legal NameMS. NEDRA JOHNSON
Location Address5409 N JIM MILLER RD STE 211Dallas, TX 75227-1523
Mailing AddressPo Box 270376Dallas, TX 75227-0376 · (214) 280-0379
Phone(214) 280-0379
Fax(214) 817-2571
Sole ProprietorYes
Enumeration DateSeptember 28, 2017
Last NPPES UpdateJanuary 13, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2023
✔ NPI 1265941512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedDriverTaxonomy 172A00000X
Also ListedTechnician, Other · Renal DialysisTaxonomy 2472R0900X
Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X
Also ListedHome HealthTaxonomy 251E00000X
Also ListedProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationTaxonomy 251T00000X
Also ListedVoluntary or CharitableTaxonomy 251V00000X
Also ListedFoster Care AgencyTaxonomy 253J00000X
Also ListedClinic/Center · Adult Day CareTaxonomy 261QA0600X
Also ListedHome Delivered MealsTaxonomy 332U00000X
Also ListedTransportation Network CompanyTaxonomy 342000000X
Also ListedPrivate VehicleTaxonomy 347C00000X
Also ListedAdult CompanionTaxonomy 372600000X
Also ListedHome Health AideTaxonomy 374U00000X
5409 N JIM MILLER RD STE 211, Dallas, TX 75227
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Other Providers at the Same Location NPPES

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

A ANGEL'S TOUCH HCS INC
Clinic/Center (Adult Day Care)
5409 N JIM MILLER RD STE 211
DALLAS, TX 75227
Dallas County (214) 280-0379

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 Nedra Johnson's NPI number?

The NPI number for Nedra Johnson is 1265941512. It was assigned to this individual provider in the NPPES registry on September 28, 2017.

Where is Nedra Johnson located?

Nedra Johnson practices at 5409 N Jim Miller Rd Ste 211, Dallas, TX 75227. The listed phone number is (214) 280-0379.

What is Nedra Johnson's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Nedra Johnson was last updated on January 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.