Individual provider Active NPI

Keyauna Marie Littlejohn, FNP-BC

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1144836628
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1013977 Issued in TX
Practice address
4055 Valley View LN
Dallas, TX 75244-5074
Phone
(785) 506-7669
NPI assigned
Sep 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 977409 TX
Family Nurse Practitioner 363LF0000X 1013977 TX Primary

Addresses

Primary practice location

4055 Valley View LN
Dallas, TX 75244-5074

Mailing address

4055 Valley View LN
Dallas, TX 75244-5074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20210805001903 TX Practitioner - Nurse Practitioner 5991109407 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stephen Dinger DO PLLCGroup PAC ID 8820243033, 4 clinicians

Practice addresses (Care Compare)

112 Herff Rd
Suite 320
Boerne, TX 78006-2750
Phone (210) 495-7246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
977409TXMDCritical Care Medicine Registered Nurse
1013977TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regenerative Healing Solutions PLLC Family CurrentSince Aug 1, 2025 Accepting new patients
Vpa of Texas PLLC CurrentSince Aug 1, 2021 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Aug 1, 2021 Accepting new patients
Consonant Healing Associates of de LLC CurrentSince Dec 1, 2025 Accepting new patients
Vpa of Texas PLLC CurrentSince Aug 1, 2021 Accepting new patients
Carefront Medical Group, PLLC CurrentSince Sep 7, 2024 Accepting new patients
Vpa of Texas PLLC Current Accepting new patients
Stephen Dinger DO PLLC Past Accepting new patients

Locations

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

4501 Dudmar Dr
Austin, TX 78735
Phone (512) 326-1141

2660 Brickyard Rd
Beaumont, TX 77703
Phone (406) 892-1533

4195 Milam St
Beaumont, TX 77707
Phone (409) 842-4450

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

12830 Hillcrest Rd
Ste 111
Dallas, TX 75230
Phone (972) 964-9087

2416 NW 18th St
Ft Worth, TX 76106
Phone (817) 626-5454

10851 Crescent Moon Dr
Houston, TX 77064
Phone (281) 890-0171

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

413 Garland Dr
Lake Jackson, TX 77566
Phone (979) 297-3266

10423 State Highway 151
Ste 103
San Antonio, TX 78251
Phone (210) 546-1470

8223 Broadway
San Antonio, TX 78209
Phone (210) 828-0606

5253 Walzem Rd
Ste 2
Windcrest, TX 78218
Phone (210) 599-0456

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 10

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": "1600473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1144836628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 VALLEY VIEW LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 VALLEY VIEW LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445074",
            "telephone_number": "785-506-7669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLEJOHN",
        "first_name": "KEYAUNA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-19",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "TX",
            "license": "977409",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1013977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.