Tyranesha Johnson

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

0000 Issued in LA

Practice address

6245 Silverleaf Ave
Baton Rouge, LA 70812-1768

Phone

(225) 284-1321

NPI assigned

Jan 18, 2022

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 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1225789506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6245 SILVERLEAF AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708121768",
            "telephone_number": "225-284-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6245 SILVERLEAF AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708121768",
            "telephone_number": "225-284-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TYRANESHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": "0000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Admin@peakbhs.com",
            "affiliation": "N",
            "address_1": "6245 Silverleaf Ave",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708121768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tera L. Johnson, CPNP-PC
• Terrica Johnson
• Tierra L Johnson, PHARMD
• Tim D Johnson, M.D.
• Trajaca Johnson
• Tyriel Johnson
• Viveca Johnson, LPC
• Whitney Johnson
• Wilshonda Johnson
• Wilson Eric Johnson Jr., MACM

• Case Manager/Care Coordinator in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.