Ray Vivian Johnson, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

143504 Issued in MO

Practice address

4632 Willow Ave
Kansas City, MO 64133-1847

Phone

(816) 616-7179

NPI assigned

Jan 28, 2009

Sex

Female

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233100800000",
    "number": "1871731919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4632 WILLOW AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641331847",
            "telephone_number": "816-616-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4632 WILLOW AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641331847",
            "telephone_number": "816-616-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RAY",
        "middle_name": "VIVIAN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-28",
        "last_updated": "2009-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MO",
            "license": "143504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Johnson, CRNP
• Paul Johnson, D.O.
• Paula Algozzini Johnson, CAS, BCBA, LBA
• Rachel Johnson, D.C
• Randall Johnson Jr., RN
• Rebecca Johnson, PH.D.
• Rebecca Sue Johnson, MD
• Robyn Alicia Johnson, RDN
• Rondi Bernice Johnson, DC
• Ryan William Johnson

• Home Health Registered Nurse in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Home Health Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; 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.