Stacey A Johnson

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

278273 Issued in NY

Practice address

289 Oakwood Ave Ste C
Troy, NY 12182-1708

Phone

(518) 274-6525

NPI assigned

Jun 17, 2021

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

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.

• CNS Home Care Inc.

  • Home Health Agency
  • Melrose, NY
  • NPI 1578779294
  NPD

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1386212009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 OAKWOOD AVE STE C",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121821708",
            "telephone_number": "518-274-6525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 OAKWOOD AVE STE C",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121821708",
            "telephone_number": "518-274-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STACEY",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "278273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John a Brendese MD PC
• John E Crable DDS PC
• Alan Joseph Johnson Jr., PT
• Carol Johnson
• Deyonia J Johnson
• Patricia Johnston, OTR
• Austin Mackenzie Jones, ATC
• Lisa Jones, PT
• Pamela Elizabeth Jones, LPN
• Rebecca Jones, LMSW

• Licensed Practical Nurse in Troy, NY
• Providers in Troy, 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 17, 2021; 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.