Kyle Johnson

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

4037307 Issued in KY

Practice address

12610 Townepark Way
Louisville, KY 40243-2068

Phone

(502) 206-1893

NPI assigned

Sep 15, 2026

Last updated

Sep 15, 2026By 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

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

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1508777947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 PACKARD AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402172007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12610 TOWNEPARK WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402432068",
            "telephone_number": "502-206-1893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KYLE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "KY",
            "license": "4037307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Eileen Johnson, RD, LD
• Kelly Johnson, PHARMD
• Kenneth Wayne Johnson, PHARMD
• Krista R Johnson, M.S. CCC-SLP
• Kristine M Johnson, LMFT
• Lainey Johnson
• Latoya L Johnson, RBT
• Laura Heath Johnson, MSW, CSW
• Laura Jean Johnson, FNP-C
• Lauren A Johnson, APRN

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Louisville, KY
• Providers in Louisville, KY by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; 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.