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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

STACI LINN JOHNSON
NPI 1245135060
Registered Nurse in Winston Salem, NC

Active since October 12, 2026
1922 S MARTIN LUTHER KING JR DR, WINSTON SALEM, NC 27107(336) 420-0922 Get Directions Write a Review

NPPES record added: October 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Staci Linn Johnson NPPES

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

STACI LINN JOHNSON (NPI 1245135060) is an individual registered nurse in Winston Salem, North Carolina, licensed in North Carolina (334460) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1245135060
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameSTACI LINN JOHNSON
Location Address1922 S MARTIN LUTHER KING JR DRWinston Salem, NC 27107-1361
Mailing Address429 Palace DrWinston Salem, NC 27107-9181 · (727) 242-4693
Phone(336) 420-0922
Sole ProprietorYes
Enumeration DateOctober 12, 2026
NPPES CertifiedOctober 12, 2026
✔ NPI 1245135060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in NC · 334460
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
1922 S MARTIN LUTHER KING JR DR, Winston Salem, NC 27107
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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.

DEDICATED HEALTH
Counselor (Mental Health)
1922 S MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 27107
Forsyth County (336) 420-0922
CAROLINA CLASSIC SENIOR CARE, LLC
In Home Supportive Care
1922 S MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 27107
Forsyth County (336) 464-3124
OLAYINKA IBERONKE DYKES LPCA #A13107
Counselor (Mental Health)
1922 S MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 27107
Forsyth County (336) 464-3136
SUSTAINING HANDS HOME CARE, LLC
In Home Supportive Care
1922 S MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 27107
Forsyth County (336) 734-6900
ESTHER MENDEZ MS, LCMHC
Counselor (Professional)
1922 S MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 27107
Forsyth County (336) 655-8200
MS. ASHLEY SHANNESE BROWN MS, LPC, CRC
Counselor (Mental Health)
1922 S MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 27107
Forsyth County (336) 509-3373
ZOE: BEHAVIOR HEALTH SERVICES, INC.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1922 S MARTIN LUTHER KING JR DR, BOX N SUITE 224
WINSTON SALEM, NC 27107
Forsyth County (336) 734-6911
DEDICATED HEALTH
Community/Behavioral Health
1922 S MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 27107
Forsyth County (703) 231-5357

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 Staci Johnson's NPI number?

The NPI number for Staci Johnson is 1245135060. It was assigned to this individual provider in the NPPES registry on October 12, 2026.

Where is Staci Johnson located?

Staci Johnson practices at 1922 S Martin Luther King Jr Dr, Winston Salem, NC 27107. The listed phone number is (336) 420-0922.

What is Staci Johnson's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Staci Johnson was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.