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KELLY A JOHNSON NP
NPI 1144539107
Nurse Practitioner - Family in Auburn, ME

Active since September 24, 2010
2 GREAT FALLS PLZ STE 21, AUBURN, ME 04210(207) 330-3950(207) 330-3955 Get Directions Write a Review

NPPES record last updated: January 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 27, 2021, Dec 20, 2019 (2 updates tracked since 2019).

About Kelly A Johnson Np NPPES

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

KELLY A JOHNSON NP (NPI 1144539107) is an individual family provider in Auburn, Maine, licensed in Maine (CNP101067) and active in the NPI registry since September 2010. She maintains a secondary practice location in Lisbon Falls.

NPPES Registry Identity

NPI1144539107
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY A JOHNSONCredential: NP
Location Address2 GREAT FALLS PLZ STE 21Auburn, ME 04210-5966
Mailing AddressPo Box 7291Lewiston, ME 04243-7291 · (207) 777-8950 · Fax (207) 777-8800
Phone(207) 330-3950
Fax(207) 330-3955
Sole ProprietorNo
Enumeration DateSeptember 24, 2010
Last NPPES UpdateJanuary 27, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2021
✔ NPI 1144539107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in ME · CNP101067
2 GREAT FALLS PLZ STE 21, Auburn, ME 04210
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Other Names 1

Former Name (1)Kelly A Large

Secondary Practice Location 1

Location 1583 Lisbon StLisbon Falls, ME 04252-1250 · Phone (207) 353-8830 · Fax (207) 353-4836

Other Providers at the Same Location NPPES 8

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

DALLAS R MARQUIS PA-C
Physician Assistant (Medical)
2 GREAT FALLS PLZ STE 21
AUBURN, ME 04210
Androscoggin County (207) 330-3950
JOHN M WOYTOWICZ MD
Family Medicine
2 GREAT FALLS PLZ STE 21
AUBURN, ME 04210
Androscoggin County (207) 330-3950
AMY L.R. DUDLEY DO
Family Medicine
2 GREAT FALLS PLZ STE 21
AUBURN, ME 04210
Androscoggin County (207) 330-3950
MR. JAMES R. OZON M.D.
Internal Medicine
2 GREAT FALLS PLZ STE 21
AUBURN, ME 04210
Androscoggin County (207) 330-3950
EDWIN V TAN MD
Internal Medicine
2 GREAT FALLS PLZ STE 21
AUBURN, ME 04210
Androscoggin County (207) 330-3950
MS. LISA JEAN BOUCHER P.A.-C
Physician Assistant (Medical)
2 GREAT FALLS PLZ STE 21
AUBURN, ME 04210
Androscoggin County (207) 330-3950
HEIDI M LARSON MD
Family Medicine
2 GREAT FALLS PLZ STE 21
AUBURN, ME 04210
Androscoggin County (207) 330-3950
DIANA TROFIMOVITCH MD
Internal Medicine
2 GREAT FALLS PLZ STE 21
AUBURN, ME 04210
Androscoggin County (207) 330-3950

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 Kelly Johnson's NPI number?

The NPI number for Kelly Johnson is 1144539107. It was assigned to this individual provider in the NPPES registry on September 24, 2010. The provider is also known as Kelly A Large.

Where is Kelly Johnson located?

Kelly Johnson practices at 2 Great Falls Plz Ste 21, Auburn, ME 04210. The listed phone number is (207) 330-3950.

What is Kelly Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kelly Johnson was last updated on January 27, 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.