Kimberly Lakay Johnson, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

1061910 Issued in TX

Practice address

4602 Calle Roble
Temple, TX 76502-3414

Phone

(254) 393-6594

NPI assigned

Jan 13, 2022

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

State licenses

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1649921487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4602 CALLE ROBLE",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765023414",
            "telephone_number": "254-393-6594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4602 CALLE ROBLE",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765023414",
            "telephone_number": "254-393-6594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KIMBERLY",
        "middle_name": "LAKAY",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "1061910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwin Hill Johnson, M.D.
• Haley Nicole Johnson, DPM
• James Toby Johnson, RKT
• Kalina Johnson
• Kim Ann Johnson, PT
• Marilyn Johnson, CRNA
• Meredith Johnson
• Michael Anthony Johnson Sr., LCSW
• Milicent Cherisse Johnson, CPNP
• Raymond Johnson

• Licensed Vocational Nurse in Temple, TX
• Providers in Temple, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.