Laura M Johnson, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Whitfield, MS
NPI 1407209489 · NPPES record last updated Jul 14, 2016
Key facts
- NPI
- 1407209489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 901623 (MS)
- Practice address
- 3550 Highway 468 W
Whitfield, MS 39193-5529 - Phone
- (601) 351-8000
- NPI assigned
- Jul 14, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161117001099 | MS | Practitioner - Nurse Practitioner | 3173802097 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mississippi State Hospital at Whitfield | Current | Accepting new patients | |
| Mississippi State Hospital at Whitfield | Current |
Accepting new patients |
Locations
3550 Highway 468 W
#B24
Whitfield, MS 39193
3550 Highway 468 W
Whitfield, MS 39193
3550 Highway 468 W
#B60
Whitfield, MS 39193
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 901623 | MS | Yes |
Addresses
Primary practice location
3550 Highway 468 W
Whitfield, MS 39193-5529
Mailing address
3550 Highway 468 W
Whitfield, MS 39193-5529
Other providers in Whitfield, MS
- Jaquith Nursing Home - Madison Inn
- Jaquith Nursing Home - Monroe Inn
- Esther W Jiles
- Caryn Alison Johnson
- Cynthia Johnson
- Joel Jung
- Kanieshawa Kelly
- Zinat K Khandekar
- Dakota Weston Kilcrease
- Jenise Kohnke
All providers in Whitfield, MS · Psychiatric/Mental Health Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.