Kelly C Johnson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

342555-01 Issued in NY

Practice address

123 Falstaff Rd
Rochester, NY 14609-5538

Phone

(585) 456-8566

NPI assigned

Oct 31, 2022

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

State licenses

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1558078667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 FALSTAFF RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146095538",
            "telephone_number": "585-456-8566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 FALSTAFF RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146095538",
            "telephone_number": "585-456-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KELLY",
        "middle_name": "C",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "342555-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jyia Maria Johnson
• Katherine Johnson
• Kathleen Margaret Johnson, ADULT NP
• Kathy Johnson, RN
• Kelly Johnson
• Kirk A Johnson, D.D.S.
• Krystal Sharee Johnson
• Lashay Nacole Johnson, RN
• Latasha N Johnson
• Latoya E Johnson, LPN

• Licensed Practical Nurse in Rochester, NY
• Providers in Rochester, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.