Active NPI
Patricia Marie Johnson, NP
- Family Nurse Practitioner
- Breaux Bridge, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 08111
- Practice address
- 1451 E Bridge St
Breaux Bridge, LA 70517-3405 - Phone
- (337) 322-2210
- Fax
- (337) 322-2220
- NPI assigned
- Jan 28, 2015
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 08111 | LA | Primary |
Addresses
Primary practice location
1451 E Bridge St
Breaux Bridge, LA 70517-3405
Mailing address
1451 E Bridge St
Breaux Bridge, LA 70517-3405
Phone (337) 332-2210
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pjohnson14648@direct.casso.us.com | Direct | |
| FHIR URL | https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Other |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1451 E Bridge St
Breaux Bridge, LA 70517-3405
Phone (337) 332-2210
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiovascular Institute of the South, LLC | Nurse Practitioner | Current | Accepting new patients |
Locations
1451 E Bridge St
Breaux Bridge, LA 70517
Phone (337) 322-2210
1901 Manhattan Blvd
Ste A200
Harvey, LA 70058
Phone (504) 354-5252
225 Dunn St
Houma, LA 70360
Phone (985) 446-2021
500 N Lewis St
Ste 100
New Iberia, LA 70563
Phone (337) 367-5200
Interoperability endpoints
- pjohnson1647700@direct.ochsner.org
- pjohnson14648@direct.casso.us.com
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.
-
- Cardiovascular Disease Physician
- Houma, LA
- NPI 1982689113
Nurse Practitioner
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Iberia Medical Center
- Rehabilitation Hospital Unit
- New Iberia, LA
- NPI 1992159925
-
dba Iberia Medical Center
- General Acute Care Hospital
- New Iberia, LA
- NPI 1285601088
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1275536799
-
dba St Martin Hospital
- Critical Access Hospital
- Breaux Bridge, LA
- NPI 1437482817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671062400000",
"number": "1861882920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1451 E BRIDGE ST",
"city": "BREAUX BRIDGE",
"state": "LA",
"postal_code": "705173405",
"telephone_number": "337-332-2210",
"fax_number": "337-332-2220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1451 E BRIDGE ST",
"city": "BREAUX BRIDGE",
"state": "LA",
"postal_code": "705173405",
"telephone_number": "337-322-2210",
"fax_number": "337-322-2220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "PATRICIA",
"middle_name": "MARIE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-28",
"last_updated": "2022-12-15",
"certification_date": "2022-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "08111",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pjohnson14648@direct.casso.us.com",
"affiliation": "N",
"endpointDescription": "FMOLHS-Epic",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "pjohnson14648@direct.casso.us.com",
"address_1": "548 Lakes Blvd",
"city": "Breaux Bridge",
"state": "LA",
"country_code": "US",
"postal_code": "70517",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "FMOLHS FHIR URL",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "548 Lakes Blvd",
"city": "Breaux Bridge",
"state": "LA",
"country_code": "US",
"postal_code": "70517",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Breaux Bridge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.