TYLER KEITH JOHNSON APRN NPI 1912748880

NPI Information

  • NPI: 1912748880
  • Provider Name: TYLER KEITH JOHNSON, APRN
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6901 MEDICAL PKWY
    WACO, TX
    ZIP 76712
  • Phone: (254) 751-4180

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NPI Details

Tyler Keith Johnson, APRN is an acute care nurse practitioner in Waco, TX with 2 years of experience. Tyler Keith Johnson, APRN NPI is 1912748880. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6901 MEDICAL PKWY
WACO, TX
ZIP 76712-910
Phone: (254) 751-4180

The NPI 1912748880 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/4/2024 and was last updated on 6/4/2024.

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
1363LF0000XNurse PractitionerFamily1165582TEXASNo
2363LA2100XNurse PractitionerAcute Care1165582TEXASYes

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

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