Kendra Johnson, BSN, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

778908 Issued in NY

Practice address

12330 N Gessner Rd Apt 1211
Houston, TX 77064-7658

Phone

(347) 924-3179

NPI assigned

Dec 19, 2016

Sex

Female

Sole proprietor

No

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)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

Practice roles

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.

• Saving Lives Together LLC

  • Health Educator
  • Houston, TX
  • NPI 1417769019
  NPD Authorized official
• Harlem East Life Plan

  • Community Health Clinic/Center
  • New York, NY
  • NPI 1902207061
  NPD (past)
• Ses Operating Corp

  • Primary Care Clinic/Center
  • New York, NY
  • NPI 1427125632
  NPD (past)

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1487199923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12330 N GESSNER RD APT 1211",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770647658",
            "telephone_number": "347-924-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12330 N GESSNER RD APT 1211",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770647658",
            "telephone_number": "347-924-3179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KENDRA",
        "credential": "BSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-19",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "1040938",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "778908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Johnson, RBT
• Kayla Johnson
• Keisha Holley Johnson, PHD
• Keisha Lynnetta Johnson, MPH, CHES
• Kelle D Johnson, MT
• Kenia Johnson, M.A., LPC
• Kevin Johnson
• Kia D. Johnson
• Kiara Johnson
• Kietrich T Johnson, PHARMD

• Registered Nurse in Houston, TX
• Providers in Houston, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.