Individual provider Active NPI

William Kirk Johnson, FNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bastrop, LA
National Provider Identifier
1013340744
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP07380 Issued in LA
Practice address
314 N Franklin St
Bastrop, LA 71220-3846
Phone
(318) 283-8887
Fax
(318) 281-6339
NPI assigned
Aug 16, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN124873 LA
Family Nurse Practitioner 363LF0000X AP07380 LA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP07380 LA Primary

Addresses

Primary practice location

314 N Franklin St
Bastrop, LA 71220-3846

Mailing address

PO Box 792
Bastrop, LA 71221-0792
Phone (318) 283-8887

Other identifiers 1

IdentifierTypeStateIssuer
2344889MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131213000205 LA Practitioner - Nurse Practitioner 0547497703 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN124873LAMDRegistered Nurse
AP07380LAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Morehouse Community Medical Centers, Inc Family CurrentSince Feb 1, 2020 Accepting new patients
Morehouse Community Medical Centers, Inc. Nurse Practitioner Current Accepting new patients
Morehouse Community Medical Centers, Inc. CurrentSince Feb 1, 2020 Accepting new patients
Christus Health Northern Louisiana PastSince Oct 19, 2013 Accepting new patients
Freedom Recovery LLC Past Accepting new patients

Locations

1001 W Madison Ave
Bastrop, LA 71220
Phone (318) 281-8422

314 N Franklin St
Bastrop, LA 71220
Phone (318) 239-8045

402 Highland Ave
Bastrop, LA 71220
Phone (318) 239-3883

518 Durham St
Bastrop, LA 71220
Phone (318) 556-3333

4787 Highway 151
Downsville, LA 71234
Phone (985) 805-6068

1126 Marion Hwy
Farmerville, LA 71241
Phone (318) 327-3550

335 Main St
Marion, LA 71260
Phone (318) 292-2795

108 N 16th St
Mer Rouge, LA 71261
Phone (318) 239-8010

681 Highway 594
Monroe, LA 71203
Phone (318) 381-0140

1825 N 18th St
Monroe, LA 71201
Phone (318) 322-7999

201 Riggs St
West Monroe, LA 71291
Phone (318) 323-3771

420 Wheelis St
West Monroe, LA 71292
Phone (318) 235-3661

100 Price Dr
West Monroe, LA 71292
Phone (318) 325-0973

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11502/brand/1/csg/1/fhir/r4
  • Direct secure messaging: will.johnson.1@11502.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1013340744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 792",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712210792",
            "telephone_number": "318-283-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 N FRANKLIN ST",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712203846",
            "telephone_number": "318-283-8887",
            "fax_number": "318-281-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "WILLIAM",
        "middle_name": "KIRK",
        "credential": "FNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-16",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN124873",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP07380",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP07380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2344889",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, LA

Sources for this page

Verify at the official NPI Registry.