Colandra Johnson, BACHELOR'S

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

710 Versailles Blvd
Alexandria, LA 71303-2351

Phone

(318) 449-4474

NPI assigned

Jun 25, 2018

Last updated

Jun 10, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1518452424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 MURRAY ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713016890",
            "telephone_number": "318-443-9035",
            "fax_number": "318-443-9037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 VERSAILLES BLVD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032351",
            "telephone_number": "318-449-4474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1605 Murray St",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "LA",
            "postal_code": "713016890",
            "country_code": "US",
            "telephone_number": "318-443-9035",
            "fax_number": "318-443-9037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "COLANDRA",
        "credential": "BACHELOR'S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-25",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April M Johnson
• Arthur Johnson Jr., L.A.C.
• Beverly Johnson, R.N., CARN, C.C.M.
• Carnell Johnson
• Chaquetta Thomas Johnson, APRN
• Derrick Johnson
• Hailey Johnson
• Haley Johnson
• Heather Johnson
• Iran Johnson, MA

• Case Manager/Care Coordinator in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.