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MRS. DESERAE LEI JOHNSON LMT
NPI 1033537170
Specialist in Kuna, ID

Active since April 05, 2014
1654 W BOISE ST, KUNA, ID 83634(208) 409-0422 Get Directions Write a Review

NPPES record last updated: April 5, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Deserae Lei Johnson Lmt NPPES

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

MRS. DESERAE LEI JOHNSON LMT (NPI 1033537170) is an individual specialist in Kuna, Idaho, licensed in Idaho (MAS-1035) and active in the NPI registry since April 2014.

NPPES Registry Identity

NPI1033537170
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMRS. DESERAE LEI JOHNSONCredential: LMT
Location Address1654 W BOISE STKuna, ID 83634-3137
Mailing Address1654 W Boise StKuna, ID 83634-3137 · (208) 409-0422
Phone(208) 409-0422
Sole ProprietorYes
Enumeration DateApril 5, 2014
✔ NPI 1033537170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in ID · MAS-1035
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1654 W BOISE ST, Kuna, ID 83634
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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 Deserae Johnson's NPI number?

The NPI number for Deserae Johnson is 1033537170. It was assigned to this individual provider in the NPPES registry on April 5, 2014.

Where is Deserae Johnson located?

Deserae Johnson practices at 1654 W Boise St, Kuna, ID 83634. The listed phone number is (208) 409-0422.

What is Deserae Johnson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Deserae Johnson was last updated on April 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.