Haley Chambliss Johnson

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP08830 Issued in LA

Practice address

617 Bienville St
Suite a
Natchitoches, LA 71457-5730

Phone

(318) 352-1108

Fax

(318) 352-1106

NPI assigned

Jun 14, 2016

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Interoperability endpoints

• Direct secure messaging: nrmc.wicprimarycare@direct.la-hie.org
• FHIR API: https://api.platform.athenahealth.com/22330/brand/1/csg/1/fhir/r4

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.

• Summit OB GYN LLC

  • Obstetrics & Gynecology Physician
  • Natchitoches, LA
  • NPI 1124340054
  Medicare reassignment

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1427408137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 BIENVILLE ST",
            "address_2": "SUITE A",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714575730",
            "telephone_number": "318-352-1108",
            "fax_number": "318-352-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 BIENVILLE ST",
            "address_2": "SUITE A",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714575730",
            "telephone_number": "318-352-1108",
            "fax_number": "318-352-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "HALEY",
        "middle_name": "CHAMBLISS",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-14",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Johnson
• Cherry Ann Johnson
• David Christopher Johnson, RPH
• Gilda Johnson
• Gus Johnson Jr.
• Krystle Alana Johnson, B.S.
• Martisha Johnson
• Michael Seth Johnson, APRN
• Raegan Paige Johnson, MSW
• Ruby W Johnson, LPC

• Family Nurse Practitioner in Natchitoches, LA
• Providers in Natchitoches, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.