Lavern Banks Johnson, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

20905 Issued in TN

Practice address

3685 S Houston Levee Rd
Collierville, TN 38017-9009

Phone

(901) 457-2933

Fax

(901) 457-2934

NPI assigned

Apr 10, 2010

Last updated

Aug 8, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in TN, WA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Little Clinic of Tennessee LLCGroup PAC ID 4688762800, 132 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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

• The Little Clinic of Tennessee LLC

  • Family Nurse Practitioner
  • White House, TN
  • NPI 1487848800
  Medicare reassignment Care Compare group NPD
• Memphis Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Memphis, TN
  • NPI 1144236902
  Medicare reassignment NPD
• Sea Mar Community Health Centers

  dba Sea Mar Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Aberdeen, WA
  • NPI 1811051170

  Nurse Practitioner

  Medicare reassignment NPD
• Memphis Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Memphis, TN
  • NPI 1659745354
  NPD
• Sea Mar Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1346398666

  Nurse Practitioner

  NPD
• Sea Mar Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Spanaway, WA
  • NPI 1922624642
  NPD

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

{
    "created_epoch": "1270857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1144546516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932958",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3685 S HOUSTON LEVEE RD",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380179009",
            "telephone_number": "901-457-2933",
            "fax_number": "901-457-2934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 Atkins Blvd",
            "address_purpose": "LOCATION",
            "city": "Marianna",
            "state": "AR",
            "postal_code": "723602113",
            "country_code": "US",
            "telephone_number": "870-295-5225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6222 E Shelby Dr",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "38141",
            "country_code": "US",
            "telephone_number": "901-878-3274 x1003",
            "fax_number": "901-492-4941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LAVERN",
        "middle_name": "BANKS",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-10",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "20905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN LICENSE",
            "identifier": "20905",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "N1725089",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03472033",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q032334",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "6129052",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carmen Johnson, FNP-C
• Courtney Bonner Johnson, M.D
• Danielle L Johnson, P.A.
• Denita Johnson
• Elizabeth McClain Johnson, OD
• Nancy L Johnson III, MS, LPC/MHSP
• Quireni Johnson
• Addison D'Shae Jones
• Angelique Nicole Jones
• Brent W Jones, O.D.

• Family Nurse Practitioner in Collierville, TN
• Providers in Collierville, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.