Active NPI
Lysima Johnson, L.P.N.
- Licensed Practical Nurse
- Mount Vernon, NY
National Provider Identifier
1639313869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 244625-1
- Practice address
- 10 N Fulton Ave
Apt: 2F
Mount Vernon, NY 10550-1614 - Phone
- (914) 316-1551
- NPI assigned
- May 1, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 244625-1 | NY | Primary |
Addresses
Primary practice location
10 N Fulton Ave
Apt: 2F
Mount Vernon, NY 10550-1614
Mailing address
10 N Fulton Ave
Apt: 2F
Mount Vernon, NY 10550-1614
Phone (914) 316-1551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 244625-1 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241136000000",
"number": "1639313869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 N FULTON AVE",
"address_2": "APT: 2F",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105501614",
"telephone_number": "914-316-1551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 N FULTON AVE",
"address_2": "APT: 2F",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105501614",
"telephone_number": "914-316-1551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "LYSIMA",
"name_prefix": "Ms.",
"credential": "L.P.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-01",
"last_updated": "2009-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "244625-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Vernon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.