NPI age
5 years
Enumerated 2020-09-22
● Active
Type 1 · Individual
Keondra C Johnson
Johnson is 1 of 15 intermediate care facility, intellectual disabilities providers in Dallas and 1 of 737 in Texas.
Primary specialty
Intermediate Care Facility, Intellectual Disabilities
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2020-09-22
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 737 active intermediate care facility, intellectual disabilities providers in Texas.
NPI age
5 years
↓ 14 yr below median (19 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
6% of peers hold subspecialties
NPI lifetime · 2020 → 2026
2020-09Enumerated in NPPES
2020
2026
Where they practice
Practice location
2140 Medical District Dr Apt 2052
Dallas, TX 752358097
Mailing address
990 Highway 287 N Ste 106
Mansfield, TX 760632643
Specialties
-
Intermediate Care Facility, Intellectual Disabilities PrimaryAn intermediate care facility providing services for individuals with intellectual disabilities.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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