Active NPI
Katoya Johnson
- Nurse Practitioner
- Shreveport, LA
National Provider Identifier
1801334453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP09134
- Practice address
- 1005 Quail Creek Rd Apt a
Shreveport, LA 71105-2310 - Phone
- (318) 230-3900
- NPI assigned
- Feb 3, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP09134 | LA | Primary |
Addresses
Primary practice location
1005 Quail Creek Rd Apt a
Shreveport, LA 71105-2310
Mailing address
1005 Quail Creek Rd Apt a
Shreveport, LA 71105-2310
Phone (318) 230-3900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP09134 | LA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health, LLC | Nurse Practitioner | Current | Accepting new patients |
Locations
201 Saint Charles Ave
Ste 2500
New Orleans, LA 70170
Phone (504) 582-1416
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 1
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": "1486080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486080000000",
"number": "1801334453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 QUAIL CREEK RD APT A",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711052310",
"telephone_number": "318-230-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 QUAIL CREEK RD APT A",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711052310",
"telephone_number": "318-230-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "KATOYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-03",
"last_updated": "2017-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "LA",
"license": "AP09134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.