Individual provider Active NPI

Talayia Ja'Nelle Johnson, EDD, MSN, RN

  • Registered Nurse
  • Bryant, AR
National Provider Identifier
1124279542
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R67135 Issued in AR
Practice address
207 Progress Way Ste 112
Bryant, AR 72022-8810
Phone
(501) 451-5545
NPI assigned
Oct 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R67135 AR Primary

Addresses

Primary practice location

207 Progress Way Ste 112
Bryant, AR 72022-8810

Mailing address

207 Progress Way Ste 112
Bryant, AR 72022-8810
Phone (501) 451-5545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
R67135ARMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ican Home Care Services Current Accepting new patients

Locations

207 Progress Way
Ste 112
Bryant, AR 72022
Phone (501) 451-5545

Organizations & group practices 1

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": "1222992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1124279542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 PROGRESS WAY STE 112",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720228810",
            "telephone_number": "501-451-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 PROGRESS WAY STE 112",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720228810",
            "telephone_number": "501-451-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TALAYIA",
        "middle_name": "JA'NELLE",
        "name_prefix": "Dr.",
        "credential": "EDD, MSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-03",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R67135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryant, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.