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

Tyler Keith Johnson, APRN

Individual provider Family Nurse Practitioner · NPI 1912748880

Tyler Keith Johnson, APRN is a Nurse Practitioner in Waco, Texas. Qualified in 2024, 2 years ago. Practices with Legacy Urgent Care PA, a 158-clinician group. Licensed in Texas.

Years since qualifying
2
Licensed in
TX
In the registry since
2024
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

6901 Medical Pkwy
Waco, TX 76712-7910
Phone: (254) 751-4180
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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 1165582 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 1165582 (TX)

Record details

NPI number1912748880
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorNo
NPI enumeratedJune 4, 2024
Last updated in NPPESJune 4, 2024
Certification dateApril 28, 2024
Mailing address6901 Medical Pkwy, Waco, TX 76712-7910

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 Legacy Urgent Care Pa — 158 clinicians
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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