Shellon Johnson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

621289 Issued in NY

Practice address

1198 Carroll St
Apt 4D
Brooklyn, NY 11225-2248

Phone

(917) 648-0919

NPI assigned

Mar 22, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Shellon McLean Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1104288950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1198 CARROLL ST",
            "address_2": "APT 4D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112252248",
            "telephone_number": "917-648-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1198 CARROLL ST",
            "address_2": "APT 4D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112252248",
            "telephone_number": "917-648-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHELLON",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "621289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLON",
            "last_name": "MCLEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Maria Johnson
• Sean Burke Johnson, NP
• Shadea Kenda Johnson, LMSW
• Sharland Johnson, M.D.
• Sharon Elizabeth Johnson, LMSW
• Shevon Johnson
• Susan Johnson
• Tamara Leah Johnson, LMSW
• Tanika Johnson
• Tarez Johnson

• Registered Nurse in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.