Active NPI
Tina Diane Johnson, FNP
- Family Nurse Practitioner
- Campti, LA
National Provider Identifier
1619239373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP06853
- 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, 2026
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP06853 | Other | LA | APRN 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kathleen E Kautz M D Medical Corporation | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Internal Medicine Physician
- Natchitoches, LA
- NPI 1427228063
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
- Mayshonna Winslow Bayonne
- Tina D Carter
- Christus Health Central Louisiana (Lakeview SBHC)
- Kelsey Giddings, MA, LPC
- Robin Lea Guillory, LPC
- Clifton Jones Sr.
- Brandol King
- Medical/Healthcare Enterprises International, Inc. (Allegiance Home Health Care of West Central Louisiana)
- Natchitoches Parish Hospital Service District (North Natchitoches Medical Clinic)
- Keona Reliford
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; 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.