Tiffany Nicolsha Johnson, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

215181 Issued in AR

Practice address

9600 Baptist Health Dr Ste 360
Little Rock, AR 72205-6322

Phone

(501) 227-6727

NPI assigned

Dec 27, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Little Rock Children'S Clinic, P.a.

  • Pediatrics Physician
  • Little Rock, AR
  • NPI 1508846189
  NPD (past)

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1306559075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 ASTER DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721179762",
            "telephone_number": "903-293-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 BAPTIST HEALTH DR STE 360",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056322",
            "telephone_number": "501-227-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TIFFANY",
        "middle_name": "NICOLSHA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-27",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "215181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Kyle Johnson Sr.
• Tamika Johnson
• Tammy M Johnson
• Tayelor Mackenzie Johnson, RN
• Teena Johnson, LAC
• Trina Johnson, LMSW
• Vence Johnson, LAC
• Venecia M. Johnson, APN (ADVANCED NURSE
• Vera Mae Johnson
• Whitney Lashell Johnson

• Family Nurse Practitioner in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.