Dawn Raqueal Johnson, LPN, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

765207 Issued in NY

Practice address

39 Red Plank Way
Rochester, NY 14624-2481

Phone

(585) 224-6444

NPI assigned

Sep 13, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

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": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1962719831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 RED PLANK WAY",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146242481",
            "telephone_number": "585-224-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 RED PLANK WAY",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146242481",
            "telephone_number": "585-224-6444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "267 Colvin St",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146111854",
            "country_code": "US",
            "telephone_number": "585-224-6444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DAWN",
        "middle_name": "RAQUEAL",
        "name_prefix": "Ms.",
        "credential": "LPN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-13",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN3195664",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "285687",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "765207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Johnson, LMHC, CASAC-G
• Crushunda Johnson, LPN
• Daniel John Johnson, BA
• Darren Johnson
• David Gardner Johnson
• Deann L Johnson, LMSW
• Destiny Sy'Mone Johnson
• Diane Johnson
• Diane Marie Johnson, MS,CCC-SLP
• Dina Y Johnson, MFT-LP

• Registered Nurse in Rochester, NY
• Providers in Rochester, 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 May 6, 2019; 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.