DR. TARA LYNN JOHNSON M.D. NPI 1730419771

NPI Information

  • NPI: 1730419771
  • Provider Name: DR. TARA LYNN JOHNSON, M.D.
  • Classification: Psychiatry & Neurology - 2084N0402X
  • Specialization: Neurology with Special Qualifications in Child Neurology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3533 S ALAMEDA ST
    CORPUS CHRISTI, TX
    ZIP 78411
  • Phone: (361) 694-5000

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NPI Details

DR. Tara Lynn Johnson, M.D. is a neurology with special qualifications in child neurology psychiatry neurology in Corpus Christi, TX. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. DR. Tara Lynn Johnson, M.D. NPI is 1730419771. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3533 S ALAMEDA ST
CORPUS CHRISTI, TX
ZIP 78411-721
Phone: (361) 694-5000
Fax: (361) 694-5000

The NPI 1730419771 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/13/2010 and was last updated on 11/20/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsE-11312ARKANSASNo
22080P0008XPediatricsNeurodevelopmental DisabilitiesV4683TEXASNo
32084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyV4683TEXASYes
4208000000XPediatricsMT198880MARYLANDNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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