Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Kimeshia Nicole Johnson, FNP-C

Individual provider Family Nurse Practitioner · NPI 1699928655

MS. Kimeshia Nicole Johnson, FNP-C is a Nurse Practitioner in Tyler, Texas. Qualified in 2008, 18 years ago. Practices with Christus Trinity Clinic, a 1,531-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
18
Licensed in
TX
In the registry since
2008
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

5414 S Broadway Ave
Tyler, TX 75703-1335
Phone: (903) 581-1601
Fax: (903) 581-1638
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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 679053 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 679053 (TX)

Record details

NPI number1699928655
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedNovember 3, 2008
Last updated in NPPESOctober 13, 2014

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Christus Trinity Clinic — 1531 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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