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

Mr. Randall Silven Johnston II, A-GNP-C

Individual provider Adult Health Nurse Practitioner · NPI 1891420931

Mr. Randall Silven Johnston II, A-GNP-C is a Nurse Practitioner in Bossier City, Louisiana. Qualified in 2022, 4 years ago. Practices with Winn Community Health Center, Inc, a 58-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
4
Licensed in
LA
In the registry since
2022
Specialties on file
3

Practice location Address checks out

2890 Douglas Dr # 100
Bossier City, LA 71111-5806
Phone: (318) 742-6900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 202864 (LA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 202864 (LA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 202864 (LA)

Record details

NPI number1891420931
Entity typeIndividual (Type 1)
GenderMale
Credentials A-GNP-C
Sole proprietorNo
NPI enumeratedJuly 21, 2022
Last updated in NPPESSeptember 15, 2022
Certification dateSeptember 15, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Winn Community Health Center, Inc. — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bossier City