Individual provider Active NPI

Kayla Work Johnson, DNP

  • Family Nurse Practitioner
  • Smithfield, NC
National Provider Identifier
1164045746
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5016503 Issued in NC
Practice address
410 Canterbury Rd
Smithfield, NC 27577-4861
Phone
(919) 934-5149
NPI assigned
May 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5016503 NC Primary

Addresses

Primary practice location

410 Canterbury Rd
Smithfield, NC 27577-4861

Mailing address

410 Canterbury Rd
Smithfield, NC 27577-4861
Phone (919) 934-5149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220920002412 NC Practitioner - Nurse Practitioner 2567847072 Reassigns benefits to 3 organizations
I20241011002297 VA Practitioner - Nurse Practitioner 2567847072

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivx Health of North Carolina P.C.Group PAC ID 2264812866, 21 clinicians

Practice addresses (Care Compare)

8680 Rachel Freeman Way
Suite B
Charlotte, NC 28278-9567
Phone (980) 890-7788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5016503NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Care Fuquay PLLC CurrentSince Aug 4, 2024 Accepting new patients
Ivx Health of North Carolina, P.C. CurrentSince Feb 3, 2025 Accepting new patients
Unc Physicians Network LLC Current Accepting new patients
Unc Physicians Network LLC CurrentSince Sep 1, 2022 Accepting new patients

Locations

2230 Walnut St
Cary, NC 27518
Phone (919) 921-8887

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

9200 Harris Corners Pkwy
Ste A
Charlotte, NC 28269
Phone (704) 342-9011

8680 Rachel Freeman Way
Ste B
Charlotte, NC 28278
Phone (980) 890-7788

7011 Fayetteville Rd
Ste 107
Durham, NC 27713
Phone (984) 250-6564

1298 N Main St
Fuquay Varina, NC 27526
Phone (919) 590-4099

640 Timber Dr E
Ste 110
Garner, NC 27529
Phone (919) 910-0858

4024 E Franklin Blvd
Ste 150
Gastonia, NC 28056
Phone (980) 470-4226

4205 W Wendover Ave
Ste D
Greensboro, NC 27407
Phone (336) 510-2625

4001 Widewaters Pkwy
Ste J
Knightdale, NC 27545
Phone (984) 298-2111

2309 Matthews Township Pkwy
Ste 101
Matthews, NC 28105
Phone (615) 610-3733

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

7901 Falls of Neuse Rd
Ste 105109
Raleigh, NC 27615
Phone (919) 913-8757

410 Canterbury Rd
Smithfield, NC 27577
Phone (919) 934-5149

205 S Stratford Rd
Winston Salem, NC 27103

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1164045746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 CANTERBURY RD",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774861",
            "telephone_number": "919-934-5149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 CANTERBURY RD",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774861",
            "telephone_number": "919-934-5149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KAYLA",
        "middle_name": "WORK",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-18",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5016503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, NC

Sources for this page

Verify at the official NPI Registry.