Active NPI
Jennifer Lynn Johnson, BSN, RN
- Registered Nurse
- Wyoming, MI
National Provider Identifier
1962922526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 4704326234
- Practice address
- 1853 RW Berends Dr SW
Wyoming, MI 49519-4955 - Phone
- (616) 534-9300
- NPI assigned
- Jun 26, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704326234 | MI | Primary |
Addresses
Primary practice location
1853 RW Berends Dr SW
Wyoming, MI 49519-4955
Mailing address
3949 Malbec Dr SW
Wyoming, MI 49418-7341
Phone (616) 446-7944
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704326234 | MI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1962922526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3949 MALBEC DR SW",
"city": "WYOMING",
"state": "MI",
"postal_code": "494187341",
"telephone_number": "616-446-7944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1853 RW BERENDS DR SW",
"city": "WYOMING",
"state": "MI",
"postal_code": "495194955",
"telephone_number": "616-534-9300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "BSN, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-26",
"last_updated": "2023-11-03",
"certification_date": "2023-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704326234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wyoming, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.