Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alisa Lucero Johnston

Individual provider Family Nurse Practitioner · NPI 1770093882

Alisa Lucero Johnston is a Nurse Practitioner in Mobile, Alabama. Qualified in 2017, 9 years ago. Practices with Blue Mountain Hospital District, a 29-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
9
Licensed in
AL
In the registry since
2017
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Practice location Address checks out

1359 Spring Hill Ave
Mobile, AL 36604-3210
Phone: (251) 241-0905
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 750 Morphy Ave, Fairhope, AL 36532-1812 — (251) 990-1151

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1-130329 (AL)

Record details

NPI number1770093882
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 3, 2017
Last updated in NPPESSeptember 10, 2024
Certification dateSeptember 10, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Blue Mountain Hospital District — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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