NPIMap

Organization Active NPI

Kayla Johnson LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hartland, WI
National Provider Identifier
1356296354
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
KAYLA JOHNSON LLC
Practice address
702 Greenway Ter
Hartland, WI 53029-1168
Phone
(608) 279-4995
NPI assigned
Mar 4, 2026
Last updated
Mar 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Authorized official

Name
Kayla Johnson, APNPNPI 1619714482
Title
Owner
Phone
(608) 279-4995

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

702 Greenway Ter
Hartland, WI 53029-1168

Mailing address

702 Greenway Ter
Hartland, WI 53029-1168
Phone (608) 279-4995

Other practice location 1

2985 Triverton Pike Dr Ste 201
Fitchburg, WI 53711-5803
Phone (608) 238-9991

Other practice location 2

900 Ridge St
Stoughton, WI 53589-1864
Phone (608) 873-6611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260416002774 WI Part B Supplier - Clinic/Group Practice 3577039619 Receives reassigned benefits from 1 practitioner
Practice locations: Stoughton, WI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1772582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1356296354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 GREENWAY TER",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530291168",
            "telephone_number": "608-279-4995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 GREENWAY TER",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530291168",
            "telephone_number": "608-279-4995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2985 Triverton Pike Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Fitchburg",
            "state": "WI",
            "postal_code": "537115803",
            "country_code": "US",
            "telephone_number": "608-238-9991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Ridge St",
            "address_purpose": "LOCATION",
            "city": "Stoughton",
            "state": "WI",
            "postal_code": "535891864",
            "country_code": "US",
            "telephone_number": "608-873-6611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KAYLA JOHNSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-04",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-279-4995",
        "authorized_official_credential": "APNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartland, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.