Kaitlyn Johnston

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

207579 Issued in LA

Practice address

510 S. Washington St
Bastrop, LA 71220-4043

Phone

(318) 556-3333

Fax

(318) 450-3576

NPI assigned

Oct 1, 2019

Last updated

Oct 1, 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 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Medical Services of Louisiana, LLCGroup PAC ID 9931451754, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trucare Home Health, LLC Home health agency, Monroe, LA, CCN 197142
• Haven Home Health Inc Home health agency, Monroe, LA, CCN 197210
• Morehouse General Hospital Hospital, Bastrop, LA, CCN 190116
• Fmol Health St Francis Hospital, Monroe, LA, CCN 190125
• Ashley County Medical Center Hospital, Crossett, AR, CCN 041323
• Monroe Surgical Hospital Hospital, Monroe, LA, CCN 190245

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Southern Medical Services of Louisiana, LLC

  • Nurse Practitioner
  • Bastrop, LA
  • NPI 1225453335
  Medicare reassignment Care Compare group NPD
• Hni Medical Services at Glenwood, LLC

  • Internal Medicine Physician
  • West Monroe, LA
  • NPI 1669962064

  Nurse Practitioner

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Haven Home Health, Inc.

  • Home Health Agency
  • Columbia, LA
  • NPI 1689659484
  Care Compare affiliation
• Monroe Surgical Hospital, LLC

  • General Acute Care Hospital
  • Monroe, LA
  • NPI 1225031495
  Care Compare affiliation
• Morehouse General Hospital

  • General Acute Care Hospital
  • Bastrop, LA
  • NPI 1003898313
  Care Compare affiliation
• St Francis Medical Center, Inc

  • General Acute Care Hospital
  • Monroe, LA
  • NPI 1295723229
  Care Compare affiliation
• Trucare Home Health, LLC

  • Home Health Agency
  • Monroe, LA
  • NPI 1659379188
  Care Compare affiliation
• Crossett Health Foundation

  dba Ashley County Medical Center

  • Critical Access Hospital
  • Crossett, AR
  • NPI 1952308215
  Care Compare affiliation

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1619518693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 S. WASHINGTON ST",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712204043",
            "telephone_number": "318-556-3333",
            "fax_number": "318-450-3576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S. WASHINGTON ST",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712204043",
            "telephone_number": "318-556-3333",
            "fax_number": "318-450-3576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "KAITLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-01",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "207579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED NURSE PRACTITIONER",
            "identifier": "207579",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Consanda Johnson
• Felicia Johnson
• Janika Titania Johnson
• Shuntel Ramona Johnson
• William Kirk Johnson, FNP, PMHNP
• Morgan Watson Johnston
• Autchalo Nicole Jones, BA
• Beverly Cureington Jones, R.PH.
• Eugenia Jones
• Jessica L Jones, LMSW

• Family Nurse Practitioner in Bastrop, LA
• Providers in Bastrop, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.