Tawanta L Johnson, ANP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2015019142 Issued in MO

Practice address

1551 Wall St Ste 302
Saint Charles, MO 63303-3541

Phone

(314) 952-0931

NPI assigned

Jul 24, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• True Heart Healthcare, LLC

  • Family Nurse Practitioner
  • Florissant, MO
  • NPI 1124596200
  NPD (past) Authorized official
• Gateway Midwest Healthcare

  • Interventional Pain Medicine Physician
  • Bridgeton, MO
  • NPI 1811368244
  NPD

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1881036432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3957 ALBERS POINTE DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630341051",
            "telephone_number": "314-952-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 WALL ST STE 302",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633033541",
            "telephone_number": "314-952-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TAWANTA",
        "middle_name": "L",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-24",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2012039515",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209.010465",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2015019142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten Danielle Johnson, M.S., CF-SLP
• Mark Samuel Johnson, PA-C MT ASCP
• Matthew Edward Johnson, M.D.
• Melissa Jynelle Johnson, COTA/L
• Michael O Johnson, M.D.
• Willeen Whipple Johnson, LMSW
• Roxanne F Jolly
• Amy Linda Jones
• Courtney D Jones
• Garrett Jones, DPT

• Family Nurse Practitioner in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.