Kimberly Johnson, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

0001229913 Issued in VA

Practice address

3706 Princeton PL
I-3
Portsmouth, VA 23707-2450

Phone

(757) 673-4476

Fax

(757) 673-4814

NPI assigned

Jul 29, 2015

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": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1497130678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 LOUDOUN AVE",
            "address_2": "SUITE B",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073218",
            "telephone_number": "757-673-4476",
            "fax_number": "757-673-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3706 PRINCETON PL",
            "address_2": "I-3",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237072450",
            "telephone_number": "757-673-4476",
            "fax_number": "757-673-4814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KIMBERLY",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001229913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorla Johnson, CEO
• Emily Clark Johnson, MS, PT
• Hailey Anne Johnson, MD
• Joshua Heath Johnson, M.D.
• Judy Delois Johnson
• Kimberly Renee Johnson, EP
• Kristi Johnson, M.S., CCC-SLP
• Kyle Robert Johnson, DDS
• Lisa Maria Johnson, PHARMD
• Mark Stephen Johnson, MD

• Registered Nurse in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Registered Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.