Latravia Johnson, FNP

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

0413737.21 Issued in IL

Practice address

6749 Pine Lake Dr
Tinley Park, IL 60477-4935

Phone

(708) 381-9315

NPI assigned

Feb 10, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1770681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1295687663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6749 PINE LAKE DR",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604774935",
            "telephone_number": "708-381-9315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6749 PINE LAKE DR",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604774935",
            "telephone_number": "708-381-9315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LATRAVIA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-02-10",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "IL",
            "license": "0413737.21",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnson Therapy Group
• Carl Winston Johnson II, MD
• Dejanae Johnson, RBT
• Jeniya Johnson
• Jocelyn Denise Johnson
• Lauren Johnson, BCBA 1-22-59104
• Margherita Marie Johnson, R.D.
• Molly O'Shaughnessey Johnson, O.D.
• NA'Kiya Johnson
• Naomi P Johnson

• Administrator Registered Nurse in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Administrator Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.