SHEARREN JOHNSON
NPI 1528600574
Nurse Practitioner in Tyler, TX

Q: What is Shearren Johnson's NPI number?

The NPI number for Shearren Johnson is 1528600574. It was assigned to this individual provider in the NPPES registry on October 10, 2019.

Q: What is Shearren Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Shearren Johnson was last updated on June 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

Active since October 10, 2019

4293 KINSEY DR, TYLER, TX 75703(903) 592-5670(903) 363-9207 Get Directions Write a Review

NPPES record last updated: June 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 8, 2021, Oct 10, 2019 (2 updates tracked since 2019).

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About Shearren Johnson NPPES

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

SHEARREN JOHNSON (NPI 1528600574) is an individual nurse practitioner in Tyler, Texas, licensed in Texas (AP143436) and active in the NPI registry since October 2019. She maintains a secondary practice location in Diana.

NPPES Registry Identity

NPI1528600574

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSHEARREN JOHNSON

Location Address4293 KINSEY DRTyler, TX 75703-1004

Mailing Address306 E Young StLongview, TX 75602-1114 · (903) 241-2233

Phone(903) 592-5670

Fax(903) 363-9207

Sole ProprietorNo

Enumeration DateOctober 10, 2019

Last NPPES UpdateJune 8, 20212 updates tracked since enumeration

NPPES CertifiedJune 8, 2021

✔ NPI 1528600574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TX · AP143436

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X · License AP143436 (TX)

4293 KINSEY DR, Tyler, TX 75703

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Secondary Practice Location 1

Location 12162 US Highway 259 SDiana, TX 75640-3510 · Phone (903) 663-2055

Other Identifiers 1

Other143436TX · State License

Other Providers at the Same Location NPPES 7

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

EXPRESS HEALTH SYSTEMS

Family Medicine