Altay Nikkisha Jones Johnson, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

260204 Issued in CA

Practice address

3055 Iris Ave Unit D
San Ysidro, CA 92173-1146

Phone

(619) 794-6362

NPI assigned

Jul 24, 2013

Last updated

Jul 24, 2013By 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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374624000000",
    "number": "1891137386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 IRIS AVE UNIT D",
            "city": "SAN YSIDRO",
            "state": "CA",
            "postal_code": "921731146",
            "telephone_number": "619-794-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 IRIS AVE UNIT D",
            "city": "SAN YSIDRO",
            "state": "CA",
            "postal_code": "921731146",
            "telephone_number": "619-794-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES JOHNSON",
        "first_name": "ALTAY",
        "middle_name": "NIKKISHA",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-24",
        "last_updated": "2013-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "260204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jedzida Herron
• Mary Jane Hrovat
• Berenice Ibanez, PH.D.
• Rachel Ann Ireland, MD
• Christina Iturralde
• Jr's Trauma Care Initiative
• Kent Edward Karras, DC
• Mike Najah Katy
• Mely Knott
• Michele A. Lamantia, MD

• Licensed Vocational Nurse in San Ysidro, CA
• Providers in San Ysidro, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.