Individual provider Active NPI

Janika Titania Johnson

  • Family Nurse Practitioner
  • Bastrop, LA
National Provider Identifier
1629857578
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2023039410 Issued in MO
Practice address
323 W Walnut Ave
Bastrop, LA 71220-4521
Phone
(318) 283-3622
Fax
(318) 283-8622
NPI assigned
Sep 28, 2023
Last updated
Apr 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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 2023039410 MO Primary

Addresses

Primary practice location

323 W Walnut Ave
Bastrop, LA 71220-4521

Mailing address

3901 Claiborne Dr
Monroe, LA 71201-1964
Phone (131) 826-7562

Other practice location 1

5501 Delmar Blvd Ste B560
Saint Louis, MO 63112-3084
Phone (314) 833-4030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240515004332 MO Practitioner - Nurse Practitioner 0042651481 Reassigns benefits to 1 organization
I20250422002130 LA Practitioner - Nurse Practitioner 0042651481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morehouse General HospitalGroup PAC ID 4284528274, 34 clinicians

Practice addresses (Care Compare)

323 W Walnut Ave
Bastrop, LA 71220-4521
Phone (318) 283-3621

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC CurrentSince Apr 17, 2024 Accepting new patients
Morehouse General Hospital CurrentSince May 24, 2025 Accepting new patients
Institute for Research and Education in Family Medicine CurrentSince Dec 17, 2023 Accepting new patients
Morehouse General Hospital CurrentSince May 24, 2025 Accepting new patients

Locations

323 W Walnut Ave
Bastrop, LA 71220
Phone (318) 283-3600

2300 Main St
Fl 9
Kansas City, MO 64108
Phone (800) 416-1767

5501 Delmar Blvd
Ste B560
Saint Louis, MO 63112

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 4

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": "1695859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1629857578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 CLAIBORNE DR",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712011964",
            "telephone_number": "131-826-7562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 W WALNUT AVE",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712204521",
            "telephone_number": "318-283-3622",
            "fax_number": "318-283-8622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5501 Delmar Blvd Ste B560",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631123084",
            "country_code": "US",
            "telephone_number": "314-833-4030",
            "fax_number": "314-833-4031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JANIKA",
        "middle_name": "TITANIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-28",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2023039410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, LA

Sources for this page

Verify at the official NPI Registry.