SHELBY LYNN JOHNSON NPI 1902516099

NPI Information

  • NPI: 1902516099
  • Provider Name: SHELBY LYNN JOHNSON
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1411 N BECKLEY AVE STE 363
    DALLAS, TX
    ZIP 75203
  • Phone: (214) 438-5188

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NPI Details

Shelby Lynn Johnson is a medical physician assistant in Dallas, TX. Shelby Lynn Johnson NPI is 1902516099. 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:

1411 N BECKLEY AVE STE 363
DALLAS, TX
ZIP 75203-558
Phone: (214) 438-5188

The NPI 1902516099 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 11/29/2022 and was last updated on 2/21/2023.

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
1363AM0700XPhysician AssistantMedicalPA16259TEXASYes

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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