1. Home
  2. Directory
  3. New York
  4. Rochester
  5. Licensed Practical Nurse
  6. NPI Profile

KRYSTAL SHAREE JOHNSON
NPI 1275246936
Licensed Practical Nurse in Rochester, NY

Active since December 27, 2022
558 DRIVING PARK AVE, ROCHESTER, NY 14613(585) 414-4374 Get Directions Write a Review

NPPES record last updated: December 27, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Krystal Sharee Johnson NPPES

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

KRYSTAL SHAREE JOHNSON (NPI 1275246936) is an individual licensed practical nurse in Rochester, New York, licensed in New York (346075) and active in the NPI registry since December 2022. She maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1275246936
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKRYSTAL SHAREE JOHNSON
Location Address558 DRIVING PARK AVERochester, NY 14613-1536
Mailing Address558 Driving Park AveRochester, NY 14613-1536 · (585) 414-4374
Phone(585) 414-4374
Sole ProprietorYes
Enumeration DateDecember 27, 2022
NPPES CertifiedDecember 27, 2022
✔ NPI 1275246936 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 · 346075
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.
558 DRIVING PARK AVE, Rochester, NY 14613
Open in Google Maps ↗

Secondary Practice Location 1

Location 1558 Driving Park AveRochester, NY 14613-1536 · Phone (585) 414-4374

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 Krystal Johnson's NPI number?

The NPI number for Krystal Johnson is 1275246936. It was assigned to this individual provider in the NPPES registry on December 27, 2022.

Where is Krystal Johnson located?

Krystal Johnson practices at 558 Driving Park Ave, Rochester, NY 14613. The listed phone number is (585) 414-4374.

What is Krystal 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 Krystal Johnson was last updated on December 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.