Kerry Daetwyler Johnson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN175967G Issued in AZ

Practice address

1853 N Kolb Rd
Tucson, AZ 85715-4900

Phone

(520) 624-1400

NPI assigned

Sep 9, 2025

Last updated

Sep 9, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1757376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1518848233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1853 N KOLB RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857154900",
            "telephone_number": "520-624-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1853 N KOLB RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857154900",
            "telephone_number": "520-624-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KERRY",
        "middle_name": "DAETWYLER",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN175967G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kai C Johnson, PA-C
• Karen H Johnson
• Katelyn Grace Johnson, LCSW
• Kathryn Johnson, L.L.P.C.
• Kenneth R Johnson, MD
• Kiara Johnson, RRT
• Kristen Johnson, PT
• Kristine Arrieta Johnson, PA
• Lane Johnson, MD
• Laureen Johnson

• Registered Nurse in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.