Kaye Marie-Nicole Johnson

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

348730 Issued in NY

Practice address

363 Delaware St
Tonawanda, NY 14150-3962

Phone

(716) 994-4745

NPI assigned

Apr 26, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1745625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745625600000",
    "number": "1003604422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 POULTNEY AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142152230",
            "telephone_number": "716-994-4745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 DELAWARE ST",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141503962",
            "telephone_number": "716-994-4745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KAYE",
        "middle_name": "MARIE-NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-26",
        "last_updated": "2025-04-26",
        "certification_date": "2025-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "348730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey B. Rockoff,MD,PC
• Kathryn Sarah Jerz, PHARMD
• Dianne Jesikiewicz, LCSWR
• Jessica Juergens Mental Health Counseling LMHC PLLC
• Ruthanne Jillian
• Sara Johnson
• Jasmine Moynea Jones, LPN
• Shawn Francis Jordan, DDS, MS
• Serena Karis Jung, PTA
• Georgiana Haumann Jungels, MA, ATR-BC, LCAT

• Licensed Practical Nurse in Tonawanda, NY
• Providers in Tonawanda, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.