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

Individual provider Acute Care Nurse Practitioner · NPI 1922653443

Tarcariyunn Shantay Johnson is a Nurse Practitioner in Shreveport, Louisiana. Qualified in 2019, 7 years ago. Practices with Northeast Louisiana Physicians LLC, a 45-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
7
Licensed in
LA
In the registry since
2019
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Practice location Address checks out

1455 E Bert Kouns Industrial Loop
Shreveport, LA 71105-5634
Phone: (318) 798-4500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 207572 (LA)

Record details

NPI number1922653443
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 2, 2019
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Northeast Louisiana Physicians Llc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Shreveport