Kaitlynn Johnson

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

292745 Issued in AZ

Practice address

463 S Alma School Rd
Mesa, AZ 85210-1014

Phone

(480) 472-9212

NPI assigned

Aug 28, 2024

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1841024239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 S ALMA SCHOOL RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852101014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 S ALMA SCHOOL RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852101014",
            "telephone_number": "480-472-9212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "828 S Valencia",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852022824",
            "country_code": "US",
            "telephone_number": "480-472-4229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KAITLYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "292745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Johnson
• Jedidiah Johnson, PA-C
• Jennifer Johnson, PHARMD
• John Johnson Jr.
• Julie Johnson
• Katherine Grace Johnson
• Kim L. Johnson, PH.D.
• Kord Johnson
• Marissa Rose Johnson, PA-S
• Mary Z. Johnson, M.S., CCC-SPL

• All providers in Mesa, AZ
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.