LATRAVIA JOHNSON FNP NPI 1295687663

NPI Information

  • NPI: 1295687663
  • Provider Name: LATRAVIA JOHNSON, FNP
  • Classification: Registered Nurse - 163WA2000X
  • Specialization: Administrator
  • Entity Type: Individual
  • Address: 6749 PINE LAKE DR
    TINLEY PARK, IL
    ZIP 60477
  • Phone: (708) 381-9315

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NPI Details

Latravia Johnson, FNP is an administrator registered nurse in Tinley Park, IL. Latravia Johnson, FNP NPI is 1295687663. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6749 PINE LAKE DR
TINLEY PARK, IL
ZIP 60477-935
Phone: (708) 381-9315

The enumeration date for this NPI number is 2/10/2026 and was last updated on 2/10/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WA2000XRegistered NurseAdministrator0413737.21ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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