Individual provider Active NPI

Paul Johnson, FNP

  • Family Nurse Practitioner
  • Hammond, LA
National Provider Identifier
1336847706
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
229484 Issued in LA
Practice address
42388 Pelican Professional Park
Hammond, LA 70403-2412
Phone
(985) 542-6251
NPI assigned
Feb 15, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 229484 LA Primary

Addresses

Primary practice location

42388 Pelican Professional Park
Hammond, LA 70403-2412

Mailing address

20802 Madison Ave
Livingston, LA 70754-6341
Phone (225) 806-5402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20230411002800 LA Practitioner - Nurse Practitioner 8527433226 Reassigns benefits to 2 organizations
Practice locations: Baton Rouge, LA

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Internal Medicine Clinic of Tangipahoa, LLCGroup PAC ID 9234034778, 23 clinicians

Practice addresses (Care Compare)

42388 Pelican Professional Park
Hammond, LA 70403-2412
Phone (985) 542-6251

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Foster MD LLC CurrentSince Apr 1, 2025 Accepting new patients
Internal Medicine Clinic of Tangipahoa, LLC CurrentSince Feb 24, 2023 Accepting new patients
Louisiana Hyperbarics Past Accepting new patients

Locations

9938 Airline Hwy
Baton Rouge, LA 70816
Phone (225) 424-6800

42388 Pelican Professional Park
Hammond, LA 70403
Phone (985) 542-6251

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DHBICA
  • Direct secure messaging: paul.johnson@imcot.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1336847706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20802 MADISON AVE",
            "city": "LIVINGSTON",
            "state": "LA",
            "postal_code": "707546341",
            "telephone_number": "225-806-5402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42388 PELICAN PROFESSIONAL PARK",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704032412",
            "telephone_number": "985-542-6251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PAUL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "229484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.