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KAELYN JOHNSON
NPI 1023824968
Licensed Vocational Nurse in Stockton, CA

Active since December 05, 2024
1947 N CALIFORNIA ST STE B&C, STOCKTON, CA 95204(209) 463-0870 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kaelyn Johnson NPPES

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

KAELYN JOHNSON (NPI 1023824968) is an individual licensed vocational nurse in Stockton, California, licensed in California (742458) and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1023824968
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameKAELYN JOHNSON
Location Address1947 N CALIFORNIA ST STE B&CStockton, CA 95204-6034
Mailing Address3828 Otto DrStockton, CA 95209-1173
Phone(209) 463-0870
Sole ProprietorNo
Enumeration DateDecember 5, 2024
NPPES CertifiedDecember 5, 2024
✔ NPI 1023824968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License✔ Licensed in CA · 742458
Definition
A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
1947 N CALIFORNIA ST STE B&C, Stockton, CA 95204
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Other Providers at the Same Location NPPES 12

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

ITZELT DIANA RODRIGUEZ
Counselor (Addiction (Substance Use Disorder))
1947 N CALIFORNIA ST STE B&C
STOCKTON, CA 95204
San Joaquin County (209) 463-0870
JESMEEN KAUR
Counselor (Addiction (Substance Use Disorder))
1947 N CALIFORNIA ST STE B&C
STOCKTON, CA 95204
San Joaquin County (209) 463-0872
MR. RAYMOND JAMES LUCAS CNA
Nurse's Aide
1947 N CALIFORNIA ST STE B&C
STOCKTON, CA 95204
San Joaquin County (209) 463-0870
JONATHAN STUCK
Counselor (Addiction (Substance Use Disorder))
1947 N CALIFORNIA ST STE B&C
STOCKTON, CA 95204
San Joaquin County (209) 463-0870
MR. CHESTER EUGENE HARRISON JR.
Counselor (Addiction (Substance Use Disorder))
1947 N CALIFORNIA ST STE B&C
STOCKTON, CA 95204
San Joaquin County (209) 463-0870
CONSTANCE MICHELLE WASHINGTON-GREATHOUSE
Counselor (Addiction (Substance Use Disorder))
1947 N CALIFORNIA ST STE B&C
STOCKTON, CA 95204
San Joaquin County (209) 463-0870
IRENE SATAKE
Counselor (Addiction (Substance Use Disorder))
1947 N CALIFORNIA ST STE B&C
STOCKTON, CA 95204
San Joaquin County (209) 463-0872
SIMRAN BIRRING
Counselor (Addiction (Substance Use Disorder))
1947 N CALIFORNIA ST STE B&C
STOCKTON, CA 95204
San Joaquin County (209) 463-0870

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 Kaelyn Johnson's NPI number?

The NPI number for Kaelyn Johnson is 1023824968. It was assigned to this individual provider in the NPPES registry on December 5, 2024.

Where is Kaelyn Johnson located?

Kaelyn Johnson practices at 1947 N California St Ste B&c, Stockton, CA 95204. The listed phone number is (209) 463-0870.

What is Kaelyn Johnson's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Kaelyn Johnson was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.