Tiffany Shante Johnson, BSW

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

13554 Issued in LA

Practice address

908 W Judge Perez Dr Ste C
Chalmette, LA 70043-4773

Phone

(504) 324-5298

Fax

(504) 556-0949

NPI assigned

Nov 8, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Gwangi'S Counseling Research Training and Social Services

  • Community/Behavioral Health Agency
  • New Orleans, LA
  • NPI 1336506054
  NPD (past) Authorized official

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

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1982249470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 BARTHOLOMEW ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701175018",
            "telephone_number": "504-762-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 W JUDGE PEREZ DR STE C",
            "city": "CHALMETTE",
            "state": "LA",
            "postal_code": "700434773",
            "telephone_number": "504-324-5298",
            "fax_number": "504-556-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TIFFANY",
        "middle_name": "SHANTE",
        "credential": "BSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-08",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": "13554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "dfo.tjohnson@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "908 W Judge Perez Dr Ste C",
            "city": "Chalmette",
            "state": "LA",
            "country_code": "US",
            "postal_code": "700434773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• JMJ Pharmacy LLC
• Levondra Johnigan
• Ajani Johnson
• Andrea Johnson
• Keishawn Marie Johnson
• Alyce Johnston, CRNA
• Jolly Kids Too LLC
• Tyrone Jones
• Just Health
• Just Health

• Case Manager/Care Coordinator in Chalmette, LA
• Providers in Chalmette, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; 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.