Ms. Kimeshia Nicole Johnson

FNP-C | Nurse Practitioner - Family | 17+ years Exp

5414 S Broadway Ave, Tyler
  Texas, 75703-1335
903-581-1601
Accepts Medicare Nurse Anesthetist in Tyler, Texas.
Ms. Kimeshia Nicole Johnson is a Tyler, Texas based nurse practitioner with 17 years of experience in Family. She completed her graduation in 2008. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Ms. Kimeshia Nicole Johnson is 679053 in Texas. Her current practice location is 5414 S Broadway Ave, Tyler. Patients can reach her at 903-581-1601 or can fax her at 903-581-1638. Ms. Kimeshia Nicole Johnson is FNP-C with specialization in Family and her NPI number (Unique professional ID assigned by NPPES) is 1699928655.
Ms. Kimeshia Nicole Johnson delivers family-focused care which means she provides care for patients ranging from infants to the elderly and every age in between. Family Nurse Practitioner (FNP) are frequently the primary care provider for families, which means that they will not only diagnose conditions, but also treat them. FNPs perform physical exams, order diagnostic tests and procedures, diagnose and treat illness, prescribe needed medications, and teach their patients how to develop healthy lifestyles to promote health and prevent disease.
Complete Profile:
Ms. Kimeshia Nicole Johnson speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Ms. Kimeshia Nicole Johnson
Specialization: Family Nurse Practitioner (FNP)
Gender:Female
Credentials: FNP-C
Experience: 17+ years
Medical School Attended:Other
Graduation Year:2008
Accepts Medicare Assignment:Yes
Practice Address:5414 S Broadway Ave, Tyler,
Texas, 75703-1335
Phone:903-581-1601
Fax:903-581-1638
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 0840321576
Enrollment ID: I20100624000578
NPI Number: 1699928655
NPI Enumeration Date: 03 Nov, 2008
NPI Last Update On: 13 Oct, 2014

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Kimeshia Nicole Johnson are as mentioned below.
License NumberSpecializationStateStatus
679053 TexasPrimary
679053Family TexasSecondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
(450102)Tyler, TXAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Ms. Kimeshia Nicole Johnson is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Christus Trinity Clinic (3072426741)954
Mother Frances Hospital Regional Health Care Center (9234025636)103
Other Medical Identifiers:
Other legacy medical identifiers associated with Ms. Kimeshia Nicole Johnson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
75-2616977-001OtherTexasTRICARE
P01246227OtherTexasRAIL ROAD
P01304442OtherTexasRAIL ROAD
323946901MedicaidTexas
0031BVOtherTexasBCBS BLUE
75-0818167-022OtherTexasTRICARE
00T71UOtherTexasBCBS BLUE
75-2616977-002OtherTexasTRICARE
75-2616977-028OtherTexasTRICARE
323946902MedicaidTexas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Ms. Kimeshia Nicole Johnson
Po Box 841656,
Dallas, Texas
Zip: 75284-1656
Phone Number: 903-531-5000
Patients can reach Ms. Kimeshia Nicole Johnson at 5414 S Broadway Ave, Tyler, Texas or can call to book an appointment on 903-581-1601.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.