Gwendolyn Johnson

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

N10080 Issued in NY

Practice address

84 Gretna Woods Rd
Pleasant Valley, NY 12569-6965

Phone

(845) 952-0950

NPI assigned

Mar 2, 2026

Sex

Unspecified or another gender identity

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": "1772409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1861347296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 GRETNA WOODS RD",
            "city": "PLEASANT VALLEY",
            "state": "NY",
            "postal_code": "125696965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 GRETNA WOODS RD",
            "city": "PLEASANT VALLEY",
            "state": "NY",
            "postal_code": "125696965",
            "telephone_number": "845-952-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "GWENDOLYN",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2026-03-02",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "N10080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia S Hogan, M.S., OTR/L
• John Joseph Hudak, PH.D. PSYCHOLOGIST
• Suzanne Jayne Hughes, RN
• Malcolm Gilbert Idelson, M.D.
• Rachelle Cherie Jennings, LPN
• Karina Karas, RD
• Bethany Kelly
• June Kimbark
• Laura Kovacs, RN
• Cheryl Christine Kranik, M.A. CCC-SLP

• Registered Nurse in Pleasant Valley, NY
• Providers in Pleasant Valley, 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 2, 2026; 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.