Quandesha Johnson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

675335 Issued in NY

Practice address

6339 Mill St
Rhinebeck, NY 12572-1427

Phone

(845) 871-1000

Fax

(845) 876-2020

NPI assigned

Apr 14, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

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": "1271203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1740506823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6339 MILL ST",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125721427",
            "telephone_number": "845-871-1000",
            "fax_number": "845-876-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6339 MILL ST",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125721427",
            "telephone_number": "845-871-1000",
            "fax_number": "845-876-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "QUANDESHA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-14",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "295418",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "675335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ira Mitchell Jaffe, D.O.
• Sarah E James
• Subooh Javed, MD
• John L. Zboinski DPM, PC
• Jean Nicole Johnson
• Tove Johnson
• Kathleen P Jokonis, LPN
• Jose a. Tejero, M.D. P.C.
• Dina Verven Kaknis, RPH
• Steven B Kaplan, MD

• Registered Nurse in Rhinebeck, NY
• Providers in Rhinebeck, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; 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.