Layne Broussard Johnson, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

A10595RX Issued in LA

Practice address

10374 Highway 165 N Ste B
Sterlington, LA 71280-3320

Phone

(318) 665-4543

NPI assigned

Jun 26, 2006

Last updated

Jun 26, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Physician Assistant

Education

Louisiana State University School of Medicine in New Orleans, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Francis Urgent Care LLCGroup PAC ID 6608181516, 11 clinicians

Sterlington Critical Access Hospital LLCGroup PAC ID 4486652385, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fmol Health St Francis Hospital, Monroe, LA, CCN 190125

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ljohnson5316857@direct.casso.us.com

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.

• Sterlington Critical Access Hospital L.L.C

  • Medical Physician Assistant
  • Bastrop, LA
  • NPI 1679935928
  Medicare reassignment Care Compare group NPD
• St. Francis Urgent Care LLC

  • Urgent Care Clinic/Center
  • Monroe, LA
  • NPI 1194104513
  Medicare reassignment Care Compare group
• Sterlington Critical Access Hospital, L.L.C.

  dba Sterlington Rehabilitation Hospital

  • Rehabilitation Hospital
  • Bastrop, LA
  • NPI 1942257423
  NPD
• Sterlington Critical Access Hospital, LLC

  dba Sterlington Outpatient Rural Health Clinic

  • Rural Health Clinic/Center
  • Sterlington, LA
  • NPI 1134243736
  NPD (past)

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

• St Francis Medical Center, Inc

  • General Acute Care Hospital
  • Monroe, LA
  • NPI 1295723229
  Care Compare affiliation

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403740800000",
    "number": "1982631156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10374 HIGHWAY 165 N STE B",
            "city": "STERLINGTON",
            "state": "LA",
            "postal_code": "712803320",
            "telephone_number": "318-665-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10374 HIGHWAY 165 N STE B",
            "city": "STERLINGTON",
            "state": "LA",
            "postal_code": "712803320",
            "telephone_number": "318-665-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LAYNE",
        "middle_name": "BROUSSARD",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2014-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "LA",
            "license": "A10595RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1627747",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin Henderson
• Norma Hill
• Derrick Javan Hoard
• Danica Hobbs
• John M. Lipka, Inc.
• Aoko Jordan, CSW
• Sharon Kelly-Gee
• Jacqueline Key
• Terrance Miles Key
• Khawar Khurshid M D a Professional Medical Corporation

• Medical Physician Assistant in Sterlington, LA
• Providers in Sterlington, LA by specialty
• Medical Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.