Individual provider Active NPI

Winifred E. Johnson, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • New Orleans, LA
National Provider Identifier
1861779779
Registry record updated Nov 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN043203-AP02974 Issued in LA
Practice address
5640 Read Blvd
New Orleans, LA 70127-3140
Phone
(504) 207-8467
Fax
(504) 244-0433
NPI assigned
Nov 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN043203-AP02974 LA Primary

Addresses

Primary practice location

5640 Read Blvd
New Orleans, LA 70127-3140

Mailing address

6900 Bamberry St
New Orleans, LA 70126-2714
Phone (504) 231-9777

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130529000022 LA Practitioner - Nurse Practitioner 0345488664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Thomas Community Health Center IncGroup PAC ID 8527163211, 40 clinicians

Practice addresses (Care Compare)

1020 Saint Andrew St
New Orleans, LA 70130-5022
Phone 5045295558430

3943 Saint Bernard Ave
New Orleans, LA 70122-1147
Phone 5045295558466

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN043203-AP02974LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Thomas Community Health Center, Inc CurrentSince Jul 29, 2013 Accepting new patients
St. Thomas Community Health Center, Inc CurrentSince Jul 29, 2013 Accepting new patients
St. Thomas Community Health Center, Inc. Current Accepting new patients
St. Thomas Community Health Center, Inc. Past Accepting new patients
St. Thomas Community Health Center, Inc. Past Accepting new patients
St. Thomas Community Health Center, Inc. Past Accepting new patients
St. Thomas Community Health Center, Inc Past Accepting new patients
Mylaurel Medical Group la, LLC PastSince Jul 9, 2020 Accepting new patients

Locations

230 Ochsner Blvd
Gretna, LA 70056

2000 Magazine St
New Orleans, LA 70130
Phone (504) 529-5888

3500 Holiday Dr
New Orleans, LA 70114
Phone (504) 367-5724

1020 Saint Andrew St
New Orleans, LA 70130

3221 General Degaulle Dr
New Orleans, LA 70114

1936 Magazine St
New Orleans, LA 70130

2010 Magazine St
New Orleans, LA 70130

2014 Magazine St
New Orleans, LA 70130
Phone (504) 529-9115

2405 Jackson Ave
New Orleans, LA 70113
Phone (504) 220-1981

Organizations & group practices 8

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": "1320451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320451200000",
    "number": "1861779779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 BAMBERRY ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701262714",
            "telephone_number": "504-231-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5640 READ BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701273140",
            "telephone_number": "504-207-8467",
            "fax_number": "504-244-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "WINIFRED",
        "middle_name": "E.",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-05",
        "last_updated": "2011-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN043203-AP02974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.