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SHANAE GENISE JOHNSON
NPI 1114435450
Licensed Practical Nurse in Queens Village, NY

Active since January 22, 2018
9358 208TH ST, QUEENS VILLAGE, NY 11428(718) 612-5402(718) 612-5402 Get Directions Write a Review

NPPES record last updated: January 22, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shanae Genise Johnson NPPES

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

SHANAE GENISE JOHNSON (NPI 1114435450) is an individual licensed practical nurse in Queens Village, New York, licensed in New York (330534) and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1114435450
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSHANAE GENISE JOHNSON
Location Address9358 208TH STQueens Village, NY 11428-1061
Mailing Address9358 208th StQueens Village, NY 11428-1061 · (718) 612-5402 · Fax (718) 612-5402
Phone(718) 612-5402
Fax(718) 612-5402
Sole ProprietorYes
Enumeration DateJanuary 22, 2018
✔ NPI 1114435450 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 · 330534
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.
9358 208TH ST, Queens Village, NY 11428
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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 Shanae Johnson's NPI number?

The NPI number for Shanae Johnson is 1114435450. It was assigned to this individual provider in the NPPES registry on January 22, 2018.

Where is Shanae Johnson located?

Shanae Johnson practices at 9358 208th St, Queens Village, NY 11428. The listed phone number is (718) 612-5402.

What is Shanae 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 Shanae Johnson was last updated on January 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.