MRS. TINA DIANE JOHNSON


Address: 1029 Keyser Ave Ste A, Natchitoches, LA 71457-6215
Phone: 3183527768

MRS. TINA DIANE JOHNSON (NPI# 1619239373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619239373
Entity Type Individual
Full Name MRS. TINA DIANE JOHNSON
Credential FNP
Practice Address 1029 Keyser Ave Ste A
Natchitoches
LA 71457-6215
Mailing Address 1026 Parkway Dr
Natchitoches
LA 71457-6275
Practice Telephone 3183527768
Practice Fax Number 3183573661
Mailing Telephone 3183527768
Mailing Fax Number 3183573661
Enumeration Date 2012-06-08
Last Update Date 2012-06-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP06853 LA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
LA APRN LICENSE AP06853 01

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1053881391 Tina Johnson Technician 5370 Miller Rd # C-33, Swartz Creek, MI 48473-1540 2018-11-29
1740779339 Tina Johnson Technician 200 Q St Ne Apt 2110, Washington, DC 20002-2386 2018-05-09
1831692409 Tina Morris Johnson Physical Therapist 2760 W Walker St, League City, TX 77573-3398 2018-03-09
1497287809 Tina Louise Johnson Counselor 924 W Atlantic St, South Hill, VA 23970-1825 2017-04-03
1043602022 Tina Johnson Registered Nurse 1084 Glide St, Rochester, NY 14606-2751 2015-02-27
1417355454 Tina Johnson Specialist 4 Windsor Pl, Lynbrook, NY 11563-3724 2014-12-08

Office Location

Street Address 1029 KEYSER AVE STE A
City NATCHITOCHES
State LA
Zip Code 71457-6215

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427615848 Special Crawford Case Manager/Care Coordinator 419 Wasington Ave, Mansfield, LA 71457 2019-05-21
1497232748 Hand In Hand Hospice Care LLC Hospice Care, Community Based 135 East 5th Street, Natchitoches, LA 71457 2018-07-19
1851809214 Latoya M Gray Counselor 132 Kelly St, Natchitoches, LA 71457 2018-01-18
1467968024 Amanda K Cully Case Manager/Care Coordinator 200 Rapides Dr Ste A, Natchitoches, LA 71457 2017-12-19
1972021749 Jessica Smith Case Manager/Care Coordinator 325 South Drive, Natchitoches, LA 71457 2017-08-31
1689190720 Chartia Hurt Counselor 430 Dixie Plaza, Natchitoches, LA 71457 2017-08-21
1902331556 Daima Atinkah Specialist/Technologist 468 Caspari Drive, Natchitoches, LA 71457 2017-04-20
1548794969 Stephanie Sowell Counselor 120 Laird Fletcher Rd, Natchitoches, LA 71457 2017-04-12
1538692579 Cynthia Harmon Counselor 1025 Hill Ave, Natchitoches, LA 71457 2017-04-06
1104365097 Justin Dewayne Evans I Counselor 820 Gentry Davis, Natchitoches, LA 71457 2017-02-13
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558807677 Sarah Downs Crow Nurse Practitioner 740 Keyser Ave Ste E, Natchitoches, LA 71457 2017-01-12
1154605681 Family Np Healthcare, LLC Nurse Practitioner 126 Touline St, Natchitoches, LA 71457-4639 2011-10-03
1649577982 Jimmie Cochran Ross Nurse Practitioner 126 Touline St., Natchitoches, LA 71457 2011-02-23
1669096087 Zatika Gray Nurse Practitioner 740 Keyser Ave Ste E, Natchitoches, LA 71457-6083 2020-06-01
1699307348 Andrell Riley Nurse Practitioner 1640 Breazeale Springs St, Natchitoches, LA 71457-4278 2020-02-11
1336771500 Haleigh Ratliff Nurse Practitioner 740 Keyser Ave Ste E, Natchitoches, LA 71457-6083 2020-02-06
1285284612 Krystle Cash-shaw Nurse Practitioner 1640 Breazeale Springs St, Natchitoches, LA 71457-4278 2019-09-17
1184270241 Susanna Christine Squyres Nurse Practitioner 740 Keyser Ave Ste E, Natchitoches, LA 71457-6083 2019-08-14
1063992238 Alesha N Simmons Nurse Practitioner 1640 Breazeale Springs St, Natchitoches, LA 71457-4278 2018-08-17
1003329871 Darlinda Theresa Dove Nurse Practitioner 601 Keyser Ave, Natchitoches, LA 71457-6020 2017-11-14
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Competitor

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City NATCHITOCHES
Zip Code 71457

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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