NPI age
17 years
Enumerated 2008-11-03
● Active
Type 1 · Individual
MS. Kimeshia Nicole Johnson, FNP-C
Johnson is 1 of 147 nurse practitioner providers in Tyler and 1 of 5264 in Texas.
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-10-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 5264 active nurse practitioner providers in Texas.
NPI age
17 years
↑ 9 yr above median (8 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
1
In the 37% of peers with subspecialties
NPI lifetime · 2008 → 2026
2008-11Enumerated in NPPES
2008
2026
Where they practice
Practice location
5414 S Broadway Ave
Tyler, TX 757031335
Mailing address
Po Box 841656
Dallas, TX 752841656
Specialties
-
Nurse Practitioner Primary(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
-
Nurse PractitionerDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 75-2616977-001 | TRICARE |
| 01 (TX) | P01246227 | RAIL ROAD |
| 01 (TX) | P01304442 | RAIL ROAD |
| 05 (TX) | 323946901 | |
| 01 (TX) | 0031BV | BCBS BLUE |
| 01 (TX) | 75-0818167-022 | TRICARE |
| 01 (TX) | 00T71U | BCBS BLUE |
| 01 (TX) | 75-2616977-002 | TRICARE |
| 01 (TX) | 75-2616977-028 | TRICARE |
| 05 (TX) | 323946902 |
Practice context
Part of a multi-provider practice. 19 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.