Active NPI
Haley Johnson, CSFA
- Surgical Assistant
- Shreveport, LA
National Provider Identifier
1609461136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 172608
- Practice address
- 10037 Alondra St
Shreveport, LA 71115-3402 - Phone
- (318) 294-2334
- NPI assigned
- Mar 5, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 172608 | Primary |
Addresses
Primary practice location
10037 Alondra St
Shreveport, LA 71115-3402
Mailing address
10037 Alondra St
Shreveport, LA 71115-3402
Phone (318) 294-2334
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614902400000",
"number": "1609461136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10037 ALONDRA ST",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711153402",
"telephone_number": "318-294-2334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10037 ALONDRA ST",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711153402",
"telephone_number": "318-294-2334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "HALEY",
"credential": "CSFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-05",
"last_updated": "2021-03-05",
"certification_date": "2021-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": null,
"license": "172608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.