Abigail Speights Johnson, APRN-PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

120140 Issued in AR

Practice address

1955 W Truckers Dr
Fayetteville, AR 72704-5637

Phone

(479) 316-6307

NPI assigned

Feb 21, 2018

Last updated

Aug 16, 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 2

Addresses

Other names 1

• Mrs. Abigail C Speights Former name

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

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.

• Brentwood Acquisition-Shreveport Inc.

  dba Brentwood Hospital

  • Psychiatry Physician
  • Shreveport, LA
  • NPI 1164725701
  Medicare reassignment NPD
• Johnson Behavioral Health Group

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shreveport, LA
  • NPI 1063019156
  NPD Authorized official
• Brentwood Acquisition-Shreveport Inc.

  dba Brentwood Hospital

  • Psychiatric Hospital
  • Shreveport, LA
  • NPI 1417979204
  NPD

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1629579107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 HIGHLAND AVE",
            "address_2": "24",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71101",
            "telephone_number": "318-678-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 W TRUCKERS DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727045637",
            "telephone_number": "479-316-6307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1006 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711014103",
            "country_code": "US",
            "telephone_number": "318-678-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ABIGAIL",
        "middle_name": "SPEIGHTS",
        "credential": "APRN-PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-21",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP09861",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "120140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABIGAIL",
            "last_name": "SPEIGHTS",
            "middle_name": "C",
            "prefix": "MRS.",
            "credential": "APRN-PMHNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ravonne John, APRN
• Ashley Nikole Johns
• Jordan Breanne Johnson Bethea, BCBA
• Johnson Chiropractic Center, LLC
• Johnson Prosthetics & Orthotics LLC
• Allison M Johnson, M.D.
• Amanda Kelly Johnson, P.T., D.P.T.
• Amy K Johnson, MHPP
• Briana Michele Johnson
• Brock Johnson, DC

• Psychiatric/Mental Health Nurse Practitioner in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.