Jeremy Johnson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

794604 Issued in NY

Practice address

12 N Broadway Apt 2B
Yonkers, NY 10701-7064

Phone

(718) 866-4569

NPI assigned

Sep 10, 2020

Last updated

Sep 11, 2020By the provider in NPPES

Sex

Male

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": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1477168193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 N 1ST ST",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402820",
            "telephone_number": "516-800-3898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 N BROADWAY APT 2B",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107017064",
            "telephone_number": "718-866-4569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JEREMY",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "794604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Namitha John
• Priyanka John
• Varghese P. John, PH.D.
• Audley Johnson
• Cynthia Lavette Johnson
• Joelle Navonne Johnson, MS, OTR/L
• Katherine Johnson, COTA
• Keisha A. Johnson, LMSW
• Monashia Johnson, LMSW
• Nancy Johnstone-Bradshaw, CRNA

• Registered Nurse in Yonkers, NY
• Providers in Yonkers, 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 Sep 11, 2020; 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.