Individual provider Active NPI

Victoria Keandrea Johnson, NP

  • Acute Care Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1669253100
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
34820 Issued in TN
Practice address
877 Jefferson Ave
Memphis, TN 38103-2807
Phone
(901) 545-7100
NPI assigned
Oct 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 34820 TN
Acute Care Nurse Practitioner 363LA2100X 34820 TN Primary

Addresses

Primary practice location

877 Jefferson Ave
Memphis, TN 38103-2807

Mailing address

350 N Humphreys Blvd
Memphis, TN 38120-2177
Phone (901) 226-4003

Other practice location 1

1995 Highway 51 S
Covington, TN 38019-3635
Phone (901) 476-2621

Other practice location 2

2120 Exeter Rd Ste 250
Germantown, TN 38138-3931
Phone (901) 767-5864

Other practice location 3

1500 W Poplar Ave
Collierville, TN 38017-0601
Phone (901) 227-8140

Other practice location 4

6019 Walnut Grove RD
Memphis, TN 38120-2113
Phone (901) 226-4910

Other practice location 5

6225 Humphreys BLVD
Memphis, TN 38120-2373
Phone (901) 227-2727

Other practice location 6

6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 226-0732

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 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
I20231128001755 TN Practitioner - Nurse Practitioner 5698123933 Reassigns benefits to 7 organizations
I20260417000021 MS Practitioner - Nurse Practitioner 5698123933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memphis Lung Physicians Foundation, Inc.Group PAC ID 4981876307, 57 clinicians

Practice addresses (Care Compare)

2120 Exeter Rd
Suite 250
Germantown, TN 38138-3931
Phone (901) 767-5864

7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (662) 772-2980

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.97 of 100Reported as group
Quality
64.58
Improvement activities
40
Cost
77.33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34820TNMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memphis Lung Physicians Foundation, Inc. Acute Care CurrentSince Oct 22, 2025 Accepting new patients
Methodist University Emergency Physicians PLLC CurrentSince Jan 20, 2024 Accepting new patients
Methodist North Emergency Physicians, PLLC CurrentSince Jan 20, 2024 Accepting new patients
Ut Regional One Physicians Inc CurrentSince Nov 16, 2023 Accepting new patients
Germantown Emergency Physicians, PLLC CurrentSince Jan 20, 2024 Accepting new patients
Methodist South Emergency Physicians, PLLC CurrentSince Jan 20, 2024 Accepting new patients
Ut Regional One Physicians Inc Nurse Practitioner CurrentSince Nov 16, 2023 Accepting new patients
Memphis Lung Physicians, P.C. PastSince Oct 22, 2025 Accepting new patients

Locations

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

1500 W Poplar Ave
Collierville, TN 38017
Phone (901) 227-8140

1995 Highway 51 S
Covington, TN 38019
Phone (901) 476-2621

877 Jefferson Ave
Memphis, TN 38103
Phone (901) 448-5893

350 N Humphreys Blvd
Memphis, TN 38120
Phone (901) 226-4003

6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

6225 Humphreys Blvd
Memphis, TN 38120
Phone (901) 227-2727

1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290

2120 Exeter Rd
Ste 250
Memphis, TN 38138
Phone (901) 767-5864

6215 Humphreys Blvd
Ste 201
Memphis, TN 38120
Phone (901) 866-8085

Organizations & group practices 9

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1669253100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N HUMPHREYS BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202177",
            "telephone_number": "901-226-4003",
            "fax_number": "901-227-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 JEFFERSON AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381032807",
            "telephone_number": "901-545-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1995 Highway 51 S",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "TN",
            "postal_code": "380193635",
            "country_code": "US",
            "telephone_number": "901-476-2621",
            "fax_number": "901-475-5321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2120 Exeter Rd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381383931",
            "country_code": "US",
            "telephone_number": "901-767-5864",
            "fax_number": "901-767-6591",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 W Poplar Ave",
            "address_purpose": "LOCATION",
            "city": "Collierville",
            "state": "TN",
            "postal_code": "380170601",
            "country_code": "US",
            "telephone_number": "901-227-8140",
            "fax_number": "901-227-2477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6019 Walnut Grove RD",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381202113",
            "country_code": "US",
            "telephone_number": "901-226-4910",
            "fax_number": "901-226-4774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6225 Humphreys BLVD",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381202373",
            "country_code": "US",
            "telephone_number": "901-227-2727",
            "fax_number": "901-227-2477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6019 Walnut Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381202113",
            "country_code": "US",
            "telephone_number": "901-226-0732",
            "fax_number": "901-226-1456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "VICTORIA",
        "middle_name": "KEANDREA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-10",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "34820",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "34820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.