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

Individual provider Nephrology Physician · NPI 1083615520

Marisa Johnson, MD is a Nephrology in Shreveport, Louisiana. Graduated from University of Arkansas College of Medicine in 1997, 29 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Louisiana and Texas.

Years since qualifying
29
Trained at
University of Arkansas College of Medicine
Licensed in
LA, TX
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1303 Line Ave Ste 400
Shreveport, LA 71101-4628
Phone: (318) 221-2707
Fax: (313) 221-2709
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence MD.023908 (LA)
Nephrology Physician Taxonomy 207RN0300X · Licence L6967 (TX)
Nephrology Physician Taxonomy 207RN0300X · Licence 023908 (LA)

Record details

NPI number1083615520
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 9, 2005
Last updated in NPPESSeptember 6, 2017

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Medical schoolUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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