Individual provider Active NPI

Linda Mayes Johnson, FNP

  • Family Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1902193741
Registry record updated Jun 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP 06388 Issued in LA
Practice address
5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Phone
(225) 765-8987
Fax
(225) 765-8667
NPI assigned
Jun 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 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 AP 06388 LA Primary

Addresses

Primary practice location

5000 Hennessy Blvd
Baton Rouge, LA 70808-4375

Mailing address

PO Box 52752
Lafayette, LA 70505-2752
Phone (225) 765-8987

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
I20110826000226 LA Practitioner - Nurse Practitioner 7113197351 Reassigns benefits to 3 organizations

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
Mary Bird Perkins Cancer CenterGroup PAC ID 4385646280, 95 clinicians

Practice addresses (Care Compare)

4950 Essen LN
Baton Rouge, LA 70809-3738
Phone (225) 767-0847

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP 06388LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bone & Joint Clinic of Baton Rouge, Inc a Professional Medical Corp CurrentSince Sep 1, 2023 Accepting new patients
Mary Bird Perkins Cancer Center CurrentSince Jun 10, 2024 Accepting new patients
Physical Medicine and Rehabilitation Consultants Family CurrentSince Jun 29, 2011 Accepting new patients

Locations

8000 Summa Ave
Baton Rouge, LA 70809
Phone (225) 766-0130

5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050

7301 Hennessy Blvd
Ste 200
Baton Rouge, LA 70808
Phone (225) 766-0050

110 Lakeview Dr
Ste 200
Covington, LA 70433
Phone (985) 273-3000

8375 Florida Blvd
Denham Springs, LA 70726
Phone (225) 218-4044

600 Jefferson St
Ste 404
Lafayette, LA 70501

4950 Essen Ln
St George, LA 70809
Phone (225) 767-0847

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309392000000",
    "number": "1902193741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52752",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705052752",
            "telephone_number": "225-765-8987",
            "fax_number": "225-765-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 HENNESSY BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084375",
            "telephone_number": "225-765-8987",
            "fax_number": "225-765-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LINDA",
        "middle_name": "MAYES",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-30",
        "last_updated": "2011-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP 06388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.