Kelsey Johnston, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

269407 Issued in AZ

Practice address

4041 S McClintock Dr Ste 302
Tempe, AZ 85282-5879

Phone

(520) 233-7111

NPI assigned

Sep 20, 2022

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 identifiers 1

Other names 1

• Kelsey Ferguson Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Adobe Provider Group

  • Nurse Practitioner
  • Tempe, AZ
  • NPI 1659850279
  NPD
• Adobe Care and Wellness LLC

  • Case Management Agency
  • Mesa, AZ
  • NPI 1346678935
  NPD (past)

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1104549799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 S MCCLINTOCK DR STE 302",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 S MCCLINTOCK DR STE 302",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825879",
            "telephone_number": "520-233-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "KELSEY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "AZ",
            "license": "269407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346678935",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4041 S McClintock Dr Ste 302",
            "city": "Tempe",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852825879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "FERGUSON",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christopher Johnstad, M.D.
• Johnston Medical Supply
• Gianna Elizabeth Johnston, LMSW
• Irene Johnston, LCSW
• Justin Johnston, PT, DPT
• Shantele Johnston, NMD
• Jane Jollie, NMD
• Jolynn Hair Designz, LLC.
• Mary Dawn Jonas, N.M.D.
• Jonathan Kaplan DO PLC

• Case Management Registered Nurse in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Case Management Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.