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YVETTE JOHNSON
NPI 1104264001
Registered Nurse - Community Health in Milwaukee, WI

Active since June 13, 2013
3219 N 51ST BLVD, MILWAUKEE, WI 53216(414) 771-0543(262) 649-4375 Get Directions Write a Review

NPPES record last updated: January 14, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Yvette Johnson NPPES

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

YVETTE JOHNSON (NPI 1104264001) is a healthcare organization registered as a community health in Milwaukee, Wisconsin and active in the NPI registry since June 2013. The organization lists Yvette Johnson, President, as its authorized official.

NPPES Registry Identity

NPI1104264001
Entity TypeOrganization
Primary Taxonomy163WC1500X
Legal Business NameIMPACTHEALTH, LLC
Location Address3219 N 51ST BLVDMilwaukee, WI 53216-3235
Mailing Address3219 N 51st BlvdMilwaukee, WI 53216-3235 · (414) 771-0543 · Fax (262) 649-4375
Phone(414) 771-0543
Fax(262) 649-4375
Organization SubpartNo
Authorized OfficialYvette JohnsonPresident · (414) 771-0543
Enumeration DateJune 13, 2013
Last NPPES UpdateJanuary 14, 2021
NPPES CertifiedJanuary 14, 2021
✔ NPI 1104264001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Community HealthNursing Service Providers
Taxonomy Code163WC1500X
License✔ Licensed in WI · 10158-30
3219 N 51ST BLVD, Milwaukee, WI 53216
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Other Names 1

Other NameYvette Johnson

Other Identifiers 1

Medicaid1073805255WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

MRS. YVETTE JOHNSON TOWERS RN
Registered Nurse
3219 N 51ST BLVD
MILWAUKEE, WI 53216
Milwaukee County (414) 771-0543
IMPACTHEALTH
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
3219 N 51ST BLVD
MILWAUKEE, WI 53216
Milwaukee County (414) 771-0543

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 Impacthealth, LLC's NPI number?

The NPI number for Impacthealth, LLC is 1104264001. It was assigned to this organization in the NPPES registry on June 13, 2013. The provider is also known as Yvette Johnson.

Where is Impacthealth, LLC located?

Impacthealth, LLC is located at 3219 N 51st Blvd, Milwaukee, WI 53216. The listed phone number is (414) 771-0543.

What is Impacthealth, LLC's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Community Health, with taxonomy code 163WC1500X.

When was this NPI record last updated?

The NPPES record for Impacthealth, LLC was last updated on January 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.