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KENITA K JOHNSON PA-C
NPI 1023140167
Physician Assistant in Omaha, NE

Active since March 12, 2007
4101 WOOLWORTH AVE, OMAHA, NE 68105(402) 346-8800 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kenita K Johnson Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENITA K JOHNSON PA-C (NPI 1023140167) is an individual physician assistant in Omaha, Nebraska, licensed in Nebraska (1279) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1023140167
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKENITA K JOHNSONCredential: PA-C
Location Address4101 WOOLWORTH AVEOmaha, NE 68105-1850
Mailing Address10621 Poppleton AveOmaha, NE 68124-1035 · (402) 397-4769
Phone(402) 346-8800
Sole ProprietorYes
Enumeration DateMarch 12, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1023140167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NE · 1279
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4101 WOOLWORTH AVE, Omaha, NE 68105
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. RUHIYYIH YOLAINE DEHART
Pharmacy Technician
4101 WOOLWORTH AVE
OMAHA, NE 68105
Douglas County (402) 955-5203
CARRIE KUBICEK RN,BSN, OCN
Registered Nurse (Infusion Therapy)
4101 WOOLWORTH AVE
OMAHA, NE 68105
Douglas County (402) 995-5342
DARCY RAE BOGER RN
Registered Nurse (Critical Care Medicine)
4101 WOOLWORTH AVE
OMAHA, NE 68105
Douglas County (402) 995-5151
MS. SHERI LYNN PLUGGE R.D.
Dietitian, Registered
4101 WOOLWORTH AVE
OMAHA, NE 68105
Douglas County (402) 346-8800
RUBEN DARIO PULIDO PH.D.
Psychologist
4101 WOOLWORTH AVE, MAIL CODE 116A1
OMAHA, NE 68105
Douglas County (402) 995-3490
LACEY HOBUS
Social Worker (Clinical)
4101 WOOLWORTH AVE
OMAHA, NE 68105
Douglas County (402) 995-3250
MADALYN JOHNSON
Physician Assistant
4101 WOOLWORTH AVE
OMAHA, NE 68105
Douglas County (402) 995-5253
MRS. DAWNETTE LYNN BREDBERG A-GPCNP, APRN
Nurse Practitioner (Adult Health)
4101 WOOLWORTH AVE
OMAHA, NE 68105
Douglas County (402) 995-5783

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenita Johnson's NPI number?

The NPI number for Kenita Johnson is 1023140167. It was assigned to this individual provider in the NPPES registry on March 12, 2007.

Where is Kenita Johnson located?

Kenita Johnson practices at 4101 Woolworth Ave, Omaha, NE 68105. The listed phone number is (402) 346-8800.

What is Kenita Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kenita Johnson was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.