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Latoya Johnson , PA-C

Physician Assistant β€’ Jbsa Lackland, TX

Active NPI 1306385083 Individual Practitioner Female Practitioner
Practice location in NPPES

1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 782365638

Call 2102921300 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1100 Wilford Hall Loop Bldg 4554

Jbsa Lackland, TX 782365638

Telephone 2102921300

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Jbsa Lackland and Texas

38 active clinicians are listed under Physician Assistant with a practice address in Jbsa Lackland, TX (11,008 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jbsa Lackland

0% of these 38 clinicians have the CMS telehealth indicator.

28.9% of these 38 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-08-31
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES TX PA12658

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Hannah Ahn , MD

Radiology - Diagnostic Radiology

NPI 1013419076

Doctor of Medicine (M.D.)

Craig Ameduri , PA-C

Physician Assistant

NPI 1386018778

Physician Assistant (Certified)

Dr. Trisha Arno , DO

Internal Medicine - Critical Care Medicine

NPI 1275897787

Doctor of Osteopathic Medicine (D.O.)

Dr. Christopher Atkinson , MD

Radiology - Diagnostic Radiology

NPI 1093013260

Doctor of Medicine (M.D.)

Nicole Bane

Internal Medicine

NPI 1629480462
Carl Bemis , PHYSICIAN ASSISTANT

Physician Assistant - Surgical

NPI 1497998504

PHYSICIANASSISTANT

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

17 Historical Events
πŸ“
Updated Practice Location August 31, 2023

Registered at 1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 782365638 (Tel: 2102921300)

πŸ“
Updated Business Mailing Address August 31, 2023

Registered at 1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 782365638 (Tel: 2102921300)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2023

Physician Assistant (license number reported to NPPES: TX PA12658)

πŸ“
Updated Practice Location October 03, 2022

Registered at 48TH MDG, UNIT 5115, APO, AE 09461-5115 (Tel: 5044326506)

πŸ“
Updated Business Mailing Address October 03, 2022

Registered at 48TH MDG, UNIT 5115, APO, AE 094615115

πŸ“
Updated Practice Location January 26, 2022

Registered at 30 NIGHTINGALE RD BLDG 5525, EDWARDS, CA 935244901 (Tel: 6612777118)

πŸ“
Updated Business Mailing Address January 26, 2022

Registered at 30 NIGHTINGALE RD BLDG 5525, EDWARDS, CA 935240001 (Tel: 6612777118)

πŸ“
Updated Practice Location March 23, 2018

Registered at 271 FORT RICHARDSON AVE, GOODFELLOW AFB, TX 769084901 (Tel: 3254774197)

πŸ“
Updated Business Mailing Address March 23, 2018

Registered at 271 FORT RICHARDSON AVE, GOODFELLOW AFB, TX 769084901 (Tel: 3254774197)

πŸ‘€
Provider Name / Credentials Updated March 23, 2018

Recorded as LATOYA JOHNSON, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2018

Physician Assistant

βœ…
NPI Profile Active February 15, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 15, 2017

Registered at 546 E PASS RD, APT F46, GULFPORT, MS 395073216 (Tel: 5044326506)

πŸ“
Business Mailing Address (Initial Record) February 15, 2017

Registered at 546 E PASS RD, APT F46, GULFPORT, MS 395073216 (Tel: 5044326506)

πŸ‘€
Provider Name / Credentials (Initial Record) February 15, 2017

Recorded as LATOYA JOHNSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2017

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration February 15, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1306385083
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 15, 2017
Last Update: August 31, 2023
Sole Proprietor: No

Other Physician Assistants in Jbsa Lackland

All Physician Assistants in Jbsa Lackland

Mailing Address

1100 Wilford Hall Loop Bldg 4554

Jbsa Lackland, TX 782365638

Phone: 2102921300

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.