Tahwana Trenice Johnson
Individual provider Active NPI Nurse Practitioner · Westwego, LA
NPI 1245110253 · NPPES record last updated Aug 30, 2026
Key facts
- NPI
- 1245110253
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 243191 (LA)
- Practice address
- 9562 Raintree LN
Westwego, LA 70094-3184 - Phone
- (504) 223-4848
- Fax
- (504) 223-4848
- NPI assigned
- Sep 3, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Destined for Options, LLC. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 243191 | LA | Yes |
Addresses
Primary practice location
9562 Raintree LN
Westwego, LA 70094-3184
Mailing address
9562 Raintree LN
Westwego, LA 70094-3184
Phone (504) 223-4848
Other names
- Quiana Sade Nickelberry-Alexander
Other providers in Westwego, LA
- Jefferson Parish School Based Health Center
- Jesucare Senior Services
- Jesucare Transportation Services
- JJ Transportation LLC
- Gabriell Ann Johnson
- Tonisha Jones
- Elise Cedrice King
- Kristina Smith Lacaze
- Mona M Lacour
- Tamira Leblanc
All providers in Westwego, LA · Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.