Individual provider Active NPI

Tina Diane Johnson, FNP

  • Family Nurse Practitioner
  • Campti, LA
National Provider Identifier
1619239373
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP06853 Issued in LA
Practice address
3194 Highway 71
Campti, LA 71411-4060
Phone
(318) 476-3999
Fax
(318) 476-3699
NPI assigned
Jun 8, 2012
Last updated
Jan 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP06853 LA Primary

Addresses

Primary practice location

3194 Highway 71
Campti, LA 71411-4060

Mailing address

3194 Highway 71
Campti, LA 71411-4060
Phone (318) 476-3999

Other identifiers 1

IdentifierTypeStateIssuer
AP06853OtherLAAPRN LICENSE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20141216000946 LA Practitioner - Nurse Practitioner 8022242502 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kathleen E Kautz M D Medical Corporation PastSince Aug 1, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tina.johnson@direct.la-hie.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1619239373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3194 HIGHWAY 71",
            "city": "CAMPTI",
            "state": "LA",
            "postal_code": "714114060",
            "telephone_number": "318-476-3999",
            "fax_number": "318-476-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3194 HIGHWAY 71",
            "city": "CAMPTI",
            "state": "LA",
            "postal_code": "714114060",
            "telephone_number": "318-476-3999",
            "fax_number": "318-476-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TINA",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-08",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP06853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "AP06853",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Campti, LA

Sources for this page

Verify at the official NPI Registry.