Susan Johnson

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

0002087164 Issued in VA

Practice address

263 Medical Park Blvd
Petersburg, VA 23805-9337

Phone

(804) 431-1100

NPI assigned

Sep 23, 2026

Last updated

Sep 23, 2026By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1790121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1811800881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18305 LEBANON RD",
            "city": "SPRING GROVE",
            "state": "VA",
            "postal_code": "238818902",
            "telephone_number": "804-431-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 MEDICAL PARK BLVD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059337",
            "telephone_number": "804-431-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4730 Puddledock Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Prince George",
            "state": "VA",
            "postal_code": "238751274",
            "country_code": "US",
            "telephone_number": "804-452-3850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-23",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "VA",
            "license": "0002087164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Keith Johnson, D.D.S.
• Juanita S. Johnson, L.P.C.
• Nikita Banks Johnson
• Robin Louise Johnson
• Russell Johnson
• Theresa B Johnson, PTA
• Vanessa O Johnson, M.D.
• Anne Jones
• Aquintas Chavette Jones, LPN
• Arsheia Jones

• Licensed Practical Nurse in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Licensed Practical Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.