Active NPI
Chaquetta Thomas Johnson, APRN
- Women's Health Nurse Practitioner
- Alexandria, LA
National Provider Identifier
1588719215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- AP03956
- Practice address
- 5604A Coliseum Blvd
Alexandria, LA 71303-3709 - Phone
- (318) 487-5282
- Fax
- (318) 487-5338
- NPI assigned
- Jan 24, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | AP03956 | LA | Primary |
Addresses
Primary practice location
5604A Coliseum Blvd
Alexandria, LA 71303-3709
Mailing address
139 Georgetown Dr
Alexandria, LA 71303-3604
Phone (318) 448-2447
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP03956 | LA | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1588719215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 GEORGETOWN DR",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713033604",
"telephone_number": "318-448-2447",
"fax_number": "318-487-5338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5604A COLISEUM BLVD",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713033709",
"telephone_number": "318-487-5282",
"fax_number": "318-487-5338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "CHAQUETTA",
"middle_name": "THOMAS",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "LA",
"license": "AP03956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.