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

Shanique Johnson

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1457234007

Shanique Johnson is a Nurse Practitioner in Holyoke, Massachusetts. Qualified in 2024, 2 years ago. Practices with Lifepoint Behavioral Health Physician Services, LLC, a 31-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
2
Licensed in
MA
In the registry since
2025
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Practice location Address checks out

45 Lowr Westfield RD
Holyoke, MA 01040-2747
Phone: (413) 315-4100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN2319245 (MA)

Record details

NPI number1457234007
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 30, 2025
Last updated in NPPESOctober 23, 2025
Certification dateOctober 23, 2025
Mailing address104 Yale St, Springfield, MA 01109-3435

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Lifepoint Behavioral Health Physician Services, Llc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Holyoke