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

Kaitlyn Johnston

Individual provider Family Nurse Practitioner · NPI 1619518693

Kaitlyn Johnston is a Nurse Practitioner in Bastrop, Louisiana. Qualified in 2019, 7 years ago. Practices with Southern Medical Services of Louisiana, LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
7
Licensed in
LA
In the registry since
2019
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Practice location Address checks out

510 S Washington St
Bastrop, LA 71220-4043
Phone: (318) 556-3333
Fax: (318) 450-3576
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 207579 (LA)

Record details

NPI number1619518693
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 1, 2019
Last updated in NPPESOctober 1, 2019
Mailing address510 S. Washington St, Bastrop, LA 71220-4043

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Southern Medical Services Of Louisiana, Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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