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NPI 1477938132ActiveOrganization· Nurse Practitioner, Pediatrics· Dallas, TX
Nurse Practitioner, Pediatrics in Dallas, Texas, registered in NPPES in July 2015. The authorized official on file is Frederick Johnson, DO, Medical Director.
Overview
| NPI | 1477938132 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 23, 2015 |
| Last updated in NPPES | Jul 23, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Pediatrics Primary | 363LP0200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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