Individual provider Active NPI

Ski Lynn Johnson, RN

  • Registered Nurse
  • Slidell, LA
National Provider Identifier
1972292837
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
155850 Issued in LA
Practice address
515 Portsmouth Dr
Slidell, LA 70460-8443
Phone
(760) 628-9774
NPI assigned
May 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Registered Nurse 163W00000X 95116161 CA
Registered Nurse 163W00000X 202210315RN OR
Health & Wellness Coach 171400000X
Health Educator 174H00000X
Naturopath 175F00000X
Registered Nurse 163W00000X 155850 LA Primary

Addresses

Primary practice location

515 Portsmouth Dr
Slidell, LA 70460-8443

Mailing address

515 Portsmouth Dr
Slidell, LA 70460-8443
Phone (760) 628-9774

Other practice location 1

3205 Orleans Ave
New Orleans, LA 70119-3916
Phone (504) 386-3188

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
95116161CAMDRegistered Nurse
155850LAMDRegistered Nurse
202210315RNORMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Aura En Mental Health CurrentSince May 7, 2023 Accepting new patients

Locations

3205 Orleans Ave
New Orleans, LA 70119
Phone (504) 386-3188

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.

NPI Registry JSON

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1972292837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 PORTSMOUTH DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704608443",
            "telephone_number": "760-628-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 PORTSMOUTH DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704608443",
            "telephone_number": "760-628-9774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3205 Orleans Ave",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701193916",
            "country_code": "US",
            "telephone_number": "504-386-3188",
            "fax_number": "504-386-3189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SKI",
        "middle_name": "LYNN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95116161",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "202210315RN",
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "155850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.

Verify at the official NPI Registry.