Kendra Lee Johnson, COA.16059-NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

COA.16059-NP Issued in OH

Practice address

2565 London Groveport Rd
Grove City, OH 43123-9035

Phone

(866) 389-2727

NPI assigned

Jul 10, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564185600000",
    "number": "1427464494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2565 LONDON GROVEPORT RD",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431239035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2565 LONDON GROVEPORT RD",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431239035",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KENDRA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "COA.16059-NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-10",
        "last_updated": "2019-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "RN.307907-COA1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.16059-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Elizabeth Jesenko, OTR/L
• John J. Dubos, D.D.S., Inc.
• Tyler Johnoff, FNP-C
• Bryan Johnson, MD
• Chrystal Lynn Johnson
• Lanette Elane Johnson
• Melissa Johnson
• Natasha Johnson, QMHS
• Summer Johnson
• Whitney Johnson

• Family Nurse Practitioner in Grove City, OH
• Providers in Grove City, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2019; 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.