Kathleen Johnson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

00380120 Issued in NY

Practice address

2101 Spruce St
North Collins, NY 14111-9701

Phone

(716) 337-3706

Fax

(716) 337-2723

NPI assigned

Dec 18, 2007

Last updated

Dec 5, 2023By the provider in NPPES

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1407030190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 SPRUCE ST",
            "city": "NORTH COLLINS",
            "state": "NY",
            "postal_code": "141119701",
            "telephone_number": "716-337-3706",
            "fax_number": "716-337-2723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 SPRUCE ST",
            "city": "NORTH COLLINS",
            "state": "NY",
            "postal_code": "141119701",
            "telephone_number": "716-337-3706",
            "fax_number": "716-337-2723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KATHLEEN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-18",
        "last_updated": "2023-12-05",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "00380120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy J Habermehl, RN
• Kaitlyn Renee Hackett
• Brianna Harvey
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• Jordan Lyn Januszka
• Shannon Jones, LMSW
• Jamie L Kelly-Snyder
• Marie Hennessy Kerwin, RPH
• Janice Lee King, SPEECH PATHOLOGIST
• Virginia Kowal

• Registered Nurse in North Collins, NY
• Providers in North Collins, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.