Rolanda Antoinette Johnson

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

20150880 Issued in LA

Practice address

1533 Marshall St
Shreveport, LA 71101-3941

Phone

(318) 626-5597

Fax

(318) 626-5691

NPI assigned

Dec 13, 2022

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

State licenses

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1780395459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 MARSHALL ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711013941",
            "telephone_number": "318-626-5597",
            "fax_number": "318-626-5691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 MARSHALL ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711013941",
            "telephone_number": "318-626-5597",
            "fax_number": "318-626-5691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROLANDA",
        "middle_name": "ANTOINETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "LA",
            "license": "20150880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orlisa Johnson
• Paula Johnson
• Princess Alexis Aquila Johnson
• Princetta Johnson
• Ralpheal Johnson
• Ronda Johnson
• Rose-Ashleigh Johnson
• Sarah Johnson, MD
• Sasha Johnson
• Sha'Tonya Johnson

• Licensed Practical Nurse in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Licensed Practical Nurse in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.