Kuuipo K Johnson, RN
Individual provider Active NPI Community Health Registered Nurse · Sweet Home, OR
NPI 1891949533 · NPPES record last updated Jul 22, 2016
Key facts
- NPI
- 1891949533
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Registered Nurse 163WC1500X
- License
- 200540143RN (OR)
- Practice address
- 759 27TH Ave
Sweet Home, OR 97386-2994 - Phone
- (541) 367-8507
- NPI assigned
- Nov 7, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200540143RN | OR | MD | Community Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 200540143RN | OR | Yes |
Addresses
Primary practice location
759 27TH Ave
Sweet Home, OR 97386-2994
Mailing address
759 27TH Ave
Sweet Home, OR 97386-2994
Other providers in Sweet Home, OR
- Carl F Hoogesteger
- Grover L Hubbard Jr.
- Charles Derris Hurley
- Ivy Lee Infusion LLC
- Jaimi Peterson Counseling LLC
- Sofia B Kannier
- Peter Kauffman
- Kuwaye Counseling
- Katrina Larsen
- Tyler Roth Larson
All providers in Sweet Home, OR · Community Health Registered Nurse in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.