Kay Ann Johnson
Individual provider Active NPI Registered Nurse · Tipton, MI
NPI 1386142016 · NPPES record last updated Jan 29, 2018
Key facts
- NPI
- 1386142016
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 4704122064 (MI)
- Practice address
- 9991 Tipton Hwy
Tipton, MI 49287-8711 - Phone
- (517) 605-5129
- NPI assigned
- Jan 29, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704122064 | MI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704122064 | MI | Yes |
Addresses
Primary practice location
9991 Tipton Hwy
Tipton, MI 49287-8711
Mailing address
9991 Tipton Hwy
Tipton, MI 49287-8711
Phone (517) 605-5129
Other providers in Tipton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.