Individual provider Active NPI

Pamela Johnson, FNP-C

  • Family Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1851716963
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP07702 Issued in LA
Practice address
3140 Florida Blvd
Baton Rouge, LA 70806-3757
Phone
(225) 650-2000
Fax
(225) 650-2099
NPI assigned
Feb 26, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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 TAP003214 LA
Family Nurse Practitioner 363LF0000X AP07702 LA Primary

Addresses

Primary practice location

3140 Florida Blvd
Baton Rouge, LA 70806-3757

Mailing address

3140 Florida Blvd
Baton Rouge, LA 70806-3757
Phone (225) 650-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, GA2 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
I20140424000365 LA Practitioner - Nurse Practitioner 4183857337 Reassigns benefits to 2 organizations
I20150414002317 GA Practitioner - Nurse Practitioner 4183857337

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capitol City Family Health Center IncorporatedGroup PAC ID 5193639151, shared by 8 NPIs, 41 clinicians

Practice addresses (Care Compare)

3140 Florida Blvd
Baton Rouge, LA 70806

3140 Florida Blvd
Baton Rouge, LA 70806-3757

3140 Florida St
Baton Rouge, LA 70806-3757
Phone (225) 650-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
TAP003214LAMDNurse Practitioner
AP07702LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Jul 27, 2020 Accepting new patients
Ochsner Clinic LLC CurrentSince Jul 27, 2020 Accepting new patients
Capitol City Family Health Center, Incorporated CurrentSince Mar 5, 2017 Accepting new patients
Capitol City Family Health Center Incorporated CurrentSince Mar 5, 2017 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Gregory a. Delaurier, M.D., Colorectal and General Surgery, P.C. Past Accepting new patients
Capitol City Family Health Center, Incorporated Past Accepting new patients
Capitol City Family Health Center Incorporated Past Accepting new patients
Mohammed Obeidin, MD. Past Accepting new patients
Kimberly Walpert, M.D., LLC Past Accepting new patients

Locations

7855 Howell Blvd
Ste 350
Baton Rouge, LA 70807
Phone (225) 367-4911

3140 Florida St
Baton Rouge, LA 70806
Phone (225) 650-2000

904 Catalpa St
Donaldsonville, LA 70346
Phone (225) 264-6800

4605 Magazine St
New Orleans, LA 70115
Phone (504) 883-8111

59340 River West Dr
#A
Plaquemine, LA 70764
Phone (225) 385-4742

59340 River West Dr
Plaquemine, LA 70764
Phone (225) 385-4742

59340 River West Dr
Ste Ab
Plaquemine, LA 70764

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

318 N Canal Blvd
Thibodaux, LA 70301
Phone (985) 446-3276

Interoperability endpoints

  • Direct secure messaging: pamela.johnson.1@16720.direct.athenahealth.com

Organizations & group practices 10

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": "1393372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1851716963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 FLORIDA BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708063757",
            "telephone_number": "225-650-2000",
            "fax_number": "225-650-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 FLORIDA BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708063757",
            "telephone_number": "225-650-2000",
            "fax_number": "225-650-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PAMELA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-26",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "TAP003214",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP07702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.