Kimberly Dawn Johnson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN.163926.MEDS-IV Issued in OH

Practice address

114 Renick Ave
Chillicothe, OH 45601-2879

Phone

(833) 762-1013

NPI assigned

Jul 11, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

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": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1154055689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 SPARGURSVILLE RD",
            "city": "BAINBRIDGE",
            "state": "OH",
            "postal_code": "456129727",
            "telephone_number": "740-835-1286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 RENICK AVE",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456012879",
            "telephone_number": "833-762-1013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2205 Spargursville Rd",
            "address_purpose": "LOCATION",
            "city": "Bainbridge",
            "state": "OH",
            "postal_code": "456129727",
            "country_code": "US",
            "telephone_number": "740-835-1286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KIMBERLY",
        "middle_name": "DAWN",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.163926.MEDS-IV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154055689",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evan Thomas Johnson
• Greg Allen Johnson
• Jordan Johnson
• Judith Anne Johnson
• Kimberly Ann Johnson, PHARM.D.
• Kimberly S Johnson, LPN
• Kristyn Johnson
• Leighanne Johnson, LPC
• Michael Johnson, PHARMD.
• Nathalie Johnson, LSW

• Licensed Practical Nurse in Chillicothe, OH
• Providers in Chillicothe, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.