Individual provider Active NPI

Tiffany Johnson, FNP-C

  • Family Nurse Practitioner
  • West Monroe, LA
National Provider Identifier
1790307403
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
GAA-NP002355 Issued in GA
Practice address
109 Stephanie Dr
West Monroe, LA 71291-6975
Phone
(318) 267-5075
NPI assigned
May 15, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 211669 LA
Family Nurse Practitioner 363LF0000X GAA-NP002355 GA Primary

Addresses

Primary practice location

109 Stephanie Dr
West Monroe, LA 71291-6975

Mailing address

109 Stephanie Dr
West Monroe, LA 71291-6975
Phone (318) 267-5078

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, GA, MS3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20220614000482 LA Practitioner - Nurse Practitioner 0840679361 Reassigns benefits to 1 organization
I20250609000234 GA Practitioner - Nurse Practitioner 0840679361 Reassigns benefits to 2 organizations
I20251230001146 MS Practitioner - Nurse Practitioner 0840679361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4055 Valley View LN
Suite 700
Dallas, TX 75244-4910

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC Single Specialty CurrentSince Oct 12, 2025 Accepting new patients
Vpa PC Single Specialty CurrentSince Apr 1, 2025 Accepting new patients
Signify Health, LLC Single Specialty CurrentSince Jun 3, 2022 Accepting new patients
Vpa PC Single Specialty CurrentSince Apr 1, 2025 Accepting new patients

Locations

1372 Peachtree St NE
Ste 100
Atlanta, GA 30309
Phone (470) 964-1700

289 S Culver St
Lawrenceville, GA 30046
Phone (404) 891-9833

201 Saint Charles Ave
Ste 2500
New Orleans, LA 70170
Phone (504) 582-1416

460 Briarwood Dr
Ste 400
Jackson, MS 39206
Phone (601) 203-1016

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1790307403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 STEPHANIE DR",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712916975",
            "telephone_number": "318-267-5078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 STEPHANIE DR",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712916975",
            "telephone_number": "318-267-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TIFFANY",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-15",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "211669",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP002355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

Verify at the official NPI Registry.