Individual provider Active NPI

Heather Johnson

  • Family Nurse Practitioner
  • Alexandria, LA
National Provider Identifier
1891685186
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
242856 Issued in LA
Practice address
211 4TH St
Alexandria, LA 71301-8421
Phone
(318) 769-3000
NPI assigned
Jul 8, 2025
Last updated
Aug 25, 2025By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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 242856 LA Primary

Addresses

Primary practice location

211 4TH St
Alexandria, LA 71301-8421

Mailing address

211 4TH St
Alexandria, LA 71301-8421

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
I20251217000069 LA Practitioner - Nurse Practitioner 4284129339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13150 Sweet Gum Rd
Brooksville, FL 34613-4195

PO Box
Suite 649308
Dallas, TX 75264

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
242856LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Tammany Emergency Physicians Group LLC Emergency Medicine CurrentSince Sep 13, 2025 Accepting new patients

Locations

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1751932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1891685186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 4TH ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 4TH ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018421",
            "telephone_number": "318-769-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "HEATHER",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-07-08",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "242856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.