Kailee Jo Johnson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1470 Industrial Dr NW
Rochester, MN 55901-0700

Phone

(507) 322-7751

NPI assigned

May 3, 2021

Last updated

May 3, 2021By the provider in NPPES

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

Other identifiers 1

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": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1730762279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 19TH ST SE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559045401",
            "telephone_number": "507-202-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 INDUSTRIAL DR NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559010700",
            "telephone_number": "507-322-7751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KAILEE",
        "middle_name": "JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF NORTH DAKORA",
            "identifier": "YQN129424060001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Marie Johnson
• Jody Lynn Johnson, RN
• Jonathan N Johnson, MD
• Julie M Johnson, CRNA
• Julie O Johnson, R.N.
• Kari Johnson, LICSW
• Karisa Johnson
• Katherine Johnson
• Kathleen K Johnson, OT
• Katie Lynn Johnson, MD

• Behavior Technician in Rochester, MN
• Providers in Rochester, MN by specialty
• Behavior Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; 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.