SHAWNTALAE JOHNSON LPN
NPI 1104199272
Licensed Practical Nurse in W Henrietta, NY

Q: What is Shawntalae Johnson's NPI number?

The NPI number for Shawntalae Johnson is 1104199272. It was assigned to this individual provider in the NPPES registry on February 20, 2012.

Q: What is Shawntalae Johnson's specialty?

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

Active since February 20, 2012

26 BLAZING STAR CIR, W HENRIETTA, NY 14586(585) 719-6875 Get Directions Write a Review

NPPES record last updated: February 20, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Shawntalae Johnson Lpn NPPES

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

SHAWNTALAE JOHNSON LPN (NPI 1104199272) is an individual licensed practical nurse in W Henrietta, New York, licensed in New York (308498) and active in the NPI registry since February 2012.

NPPES Registry Identity

NPI1104199272

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameSHAWNTALAE JOHNSONCredential: LPN

Location Address26 BLAZING STAR CIRW Henrietta, NY 14586-9335

Mailing Address26 Blazing Star CirW Henrietta, NY 14586-9335 · (585) 719-6875

Phone(585) 719-6875

Sole ProprietorYes

Enumeration DateFebruary 20, 2012

✔ NPI 1104199272 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 · 308498

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.

26 BLAZING STAR CIR, W Henrietta, NY 14586

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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 Shawntalae Johnson's NPI number?

The NPI number for Shawntalae Johnson is 1104199272. It was assigned to this individual provider in the NPPES registry on February 20, 2012.

Where is Shawntalae Johnson located?

Shawntalae Johnson practices at 26 Blazing Star Cir, W Henrietta, NY 14586. The listed phone number is (585) 719-6875.

What is Shawntalae 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 Shawntalae Johnson was last updated on February 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.