Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1861144438 Individual Practitioner Female Practitioner

Kea Johnson

Contractor • Dallas, TX

Professional Overview & Biography Verified Profile Summary

Kea Johnson is a registered healthcare professional specializing in Contractor in Dallas, TX. Practice services are available at 2714 S 2ND AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2714 S 2nd Ave

Dallas, TX 752102090

Telephone 4697203797

Specialty Benchmarks & Practice Insights

Comparative analytics for Contractor in Dallas, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
49 Specialists

Practicing in Dallas, TX (683 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-01-25
Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

State License TX 45D2249010

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Clia Waiver
45D2249010 (TX)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 25, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location January 25, 2022

Registered at 2714 S 2ND AVE, DALLAS, TX 752102090 (Tel: 4697203797)

📍
Updated Business Mailing Address January 25, 2022

Registered at PO BOX 2852, ROWLETT, TX 750302852 (Tel: 4697203797)

👤
Provider Name / Credentials Updated January 25, 2022

Recorded as KEA JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2022

Contractor (License #45D2249010 in TX)

🟢
Initial NPI Registration & Enumeration January 25, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1861144438
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 25, 2022
Last Update: January 25, 2022
Sole Proprietor: No

Mailing Address

Po Box 2852

Rowlett, TX 750302852

Phone: 4697203797

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.