Deandra Rachel Johnson-egesi, RN is a
Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities based in Katy, Texas. Deandra Rachel Johnson-egesi is licensed to practice in Texas (license number 971600) and her current practice location is
19126 Mossy Hedge Ln, Katy, Texas. She can be reached at her office (for appointments etc.) via phone at
(832) 408-0556.
NPI number for Deandra Rachel Johnson-egesi is 1093559932 and her current mailing address is 19126 Mossy Hedge Ln, Katy, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093559932.
Provider's Profile
| Full Name | Deandra Rachel Johnson-egesi |
|---|
| Gender | Female |
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| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|
| Location | 19126 Mossy Hedge Ln, Katy, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1093559932
- Provider Enumeration Date: 06/25/2024
- Last Update Date: 09/30/2025
Medical Identifiers
Medical identifiers for Deandra Rachel Johnson-egesi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1093559932 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163WA2000X | Registered Nurse - Administrator | 971600 (Texas) | Secondary |
| 163WC1600X | Registered Nurse - Continuing Education/staff Development | 971600 (Texas) | Secondary |
| 320900000X | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities | 971600 (Texas) | Primary |
| 163WC0400X | Registered Nurse - Case Management | 971600 (Texas) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Deandra Rachel Johnson-egesi is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Deandra Rachel Johnson-egesi, RN 19126 Mossy Hedge Ln, Katy, TX 77449-4133 Ph: (832) 408-0556 | Deandra Rachel Johnson-egesi, RN 19126 Mossy Hedge Ln, Katy, TX 77449-4133 Ph: (832) 408-0556 |
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