Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shateria Johnson

Individual provider Customized Equipment (DME) · NPI 1649932492

Shateria Johnson is a Customized Equipment (DME) in Irving, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

850 Lake Carolyn Pkwy Apt 3146
Irving, TX 75039-4440
Phone: (469) 864-9931
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Customized Equipment (DME) (primary) Taxonomy 332BC3200X (TX)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1649932492
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 8, 2021
Last updated in NPPESOctober 8, 2021
Certification dateOctober 8, 2021
Mailing address850 Lake Carolyn Pkwy Apt 3146, Irving, TX 75039-4440

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