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TRAVARA JOHNSON LPN
NPI 1093956112
Licensed Practical Nurse in Fairport, NY

Active since March 19, 2009
30 BLACKWATCH TRL, APT.1, FAIRPORT, NY 14450(585) 748-6889 Get Directions Write a Review

NPPES record last updated: March 19, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Travara Johnson Lpn NPPES

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

TRAVARA JOHNSON LPN (NPI 1093956112) is an individual licensed practical nurse in Fairport, New York, licensed in New York (280236) and active in the NPI registry since March 2009.

NPPES Registry Identity

NPI1093956112
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameTRAVARA JOHNSONCredential: LPN
Location Address30 BLACKWATCH TRL, APT.1Fairport, NY 14450-3771
Mailing Address30 Blackwatch Trl, Apt.1Fairport, NY 14450-3771 · (585) 748-6889
Phone(585) 748-6889
Sole ProprietorYes
Enumeration DateMarch 19, 2009
✔ NPI 1093956112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 280236
Definition
A licensed practical 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. Requirements for education, experience, licensure, and job responsibilities vary among the states.
30 BLACKWATCH TRL, Fairport, NY 14450
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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 Travara Johnson's NPI number?

The NPI number for Travara Johnson is 1093956112. It was assigned to this individual provider in the NPPES registry on March 19, 2009.

Where is Travara Johnson located?

Travara Johnson practices at 30 Blackwatch Trl Apt.1, Fairport, NY 14450. The listed phone number is (585) 748-6889.

What is Travara Johnson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Travara Johnson was last updated on March 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.