Stephanie Johnson

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

345465 Issued in NY

Practice address

238 Crabapple Dr
Canandaigua, NY 14424-9589

Phone

(585) 944-3839

NPI assigned

Jul 24, 2024

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": "1721779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1306674080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 CRABAPPLE DR",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144249589",
            "telephone_number": "585-944-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 CRABAPPLE DR",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144249589",
            "telephone_number": "585-944-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "345465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karlee Johnson
• Lisa R. Johnson, CCC-SLP
• Marc G Johnson, D.D.S.
• Marsha A Johnson, CDN
• Megan Sheila Johnson, AU.D.
• Diane Lynn Johnston, LCSW-R
• Jonathan Grasso
• Krista D Jones, R.D.
• Lynnette Suzanne Jones, RN
• Carla R Jungquist, NP

• Licensed Practical Nurse in Canandaigua, NY
• Providers in Canandaigua, 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 Jul 24, 2024; 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.