Active NPI
Anika Johnson
- Case Manager/Care Coordinator
- Shreveport, LA
National Provider Identifier
1962954180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 2715 Mackey PL Ste 135
Shreveport, LA 71118-2528 - Phone
- (318) 220-8423
- NPI assigned
- Nov 4, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary | ||
| Counselor | 101Y00000X | 811240931 | LA |
Addresses
Primary practice location
2715 Mackey PL Ste 135
Shreveport, LA 71118-2528
Mailing address
4650 Bethume Dr
Shreveport, LA 71109-6634
Phone (318) 751-7856
Other practice location 1
4650 Bethume Dr
Shreveport, LA 71109-6634
Phone (318) 751-7856
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 811240931 | LA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunrize Transportation, LLC | Current | Accepting new patients |
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.
-
- Non-emergency Medical Transport (VAN)
- Shreveport, LA
- NPI 1326500604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686441600000",
"number": "1962954180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4650 BETHUME DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711096634",
"telephone_number": "318-751-7856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2715 MACKEY PL STE 135",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711182528",
"telephone_number": "318-220-8423"
}
],
"practiceLocations": [
{
"address_1": "4650 Bethume Dr",
"address_purpose": "LOCATION",
"city": "Shreveport",
"state": "LA",
"postal_code": "711096634",
"country_code": "US",
"telephone_number": "318-751-7856",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "ANIKA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-04",
"last_updated": "2023-06-11",
"certification_date": "2023-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "LA",
"license": "811240931",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.