Brenda L. Johnson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

224837 Issued in NY

Practice address

6412 Baragon Hill Rd
Friendship, NY 14739-8668

Phone

(716) 790-0228

NPI assigned

Jun 12, 2019

Last updated

Jun 12, 2019By the provider in NPPES

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

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": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1255990206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6412 BARAGON HILL RD",
            "city": "FRIENDSHIP",
            "state": "NY",
            "postal_code": "147398668",
            "telephone_number": "717-790-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6412 BARAGON HILL RD",
            "city": "FRIENDSHIP",
            "state": "NY",
            "postal_code": "147398668",
            "telephone_number": "716-790-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BRENDA",
        "middle_name": "L.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "224837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Friendship Central School
• Dawn Marie Gardiner, LPN
• Tina Marie Gregory, MS OTR/L
• Judy Histed
• Jeffrey a Marks (Friendship Pharmacy)
• Rachel Krisher
• Jeffrey Arno Marks, R.PH.
• Ruth Schmidt, LPN
• Amy J Tavernier, CCC-SLP
• Town of Friendship

• Licensed Practical Nurse in Friendship, NY
• Providers in Friendship, 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 Jun 12, 2019; 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.