1. Home
  2. Directory
  3. Louisiana
  4. Deridder
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

MACKENZIE JOHNSON
NPI 1205792322
Student in an Organized Health Care Education/Training Program in Deridder, LA

Active since January 02, 2026
111 N ROYAL ST, DERIDDER, LA 70634(337) 202-8803(337) 222-4013 Get Directions Write a Review

NPPES record last updated: January 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mackenzie Johnson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MACKENZIE JOHNSON (NPI 1205792322) is an individual student in an organized health care education/training program in Deridder, Louisiana and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1205792322
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMACKENZIE JOHNSON
Location Address111 N ROYAL STDeridder, LA 70634-3851
Mailing AddressPo Box 642Dry Creek, LA 70637-0642
Phone(337) 202-8803
Fax(337) 222-4013
Sole ProprietorNo
Enumeration DateJanuary 2, 2026
NPPES CertifiedJanuary 2, 2026
✔ NPI 1205792322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
111 N ROYAL ST, Deridder, LA 70634
Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IMPERIAL HEALTH LLP
Orthopaedic Surgery
111 N ROYAL ST
DERIDDER, LA 70634
Beauregard Parish (337) 202-1926
BARDIN DERMATOLOGY, LLC
Dermatology
111 N ROYAL ST
DERIDDER, LA 70634
Beauregard Parish (504) 301-6621

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mackenzie Johnson's NPI number?

The NPI number for Mackenzie Johnson is 1205792322. It was assigned to this individual provider in the NPPES registry on January 2, 2026.

Where is Mackenzie Johnson located?

Mackenzie Johnson practices at 111 N Royal St, Deridder, LA 70634. The listed phone number is (337) 202-8803.

What is Mackenzie Johnson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mackenzie Johnson was last updated on January 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.