Latrecia Antoinette Johnson

Primary specialty

ProsthetistTaxonomy code 224P00000X

Practice address

296 Beauvoir Rd Ste 1005120
Biloxi, MS 39531-4051

Phone

(601) 514-2533

NPI assigned

Nov 30, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1689440679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 BEAUVOIR RD STE 1005120",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395314051",
            "telephone_number": "601-514-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 BEAUVOIR RD STE 1005120",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395314051",
            "telephone_number": "601-514-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LATRECIA",
        "middle_name": "ANTOINETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-30",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Johnson, M.S. CCC-SLP
• Kaylee Elder Johnson
• Kristina Renee Johnson, PH.D.
• Lashonda Johnson
• Latanya Felicia Johnson, RN BSN
• Pandora Johnson
• Racheal Johnson, D.O.
• Sandricka Keishay Johnson
• Tina Johnson, LMSW
• Brayden Elizabeth Jolley, NP

• Prosthetist in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Prosthetist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.