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

Kassidy Johnson

Individual provider Nurse Practitioner · NPI 1235675257

Kassidy Johnson is a Nurse Practitioner in Baton Rouge, Louisiana. Qualified in 2016, 10 years ago. Practices with Mayfair Physician Services, LLC, a 40-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Louisiana.

Years since qualifying
10
Licensed in
LA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

17000 Medical Center Dr
Baton Rouge, LA 70816-3246
Phone: (225) 755-4858
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP09181 (LA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence AP09181 (LA)

Record details

NPI number1235675257
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 13, 2017
Last updated in NPPESFebruary 28, 2017

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Mayfair Physician Services, Llc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Baton Rouge