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SERINA JOHNSON
NPI 1295320489
Licensed Practical Nurse in Edgewood, NM

Active since March 09, 2021
104 QUAIL TRAIL, UNIT B, EDGEWOOD, NM 87015(505) 208-0204 Get Directions Write a Review

NPPES record last updated: March 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Serina Johnson NPPES

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

SERINA JOHNSON (NPI 1295320489) is an individual licensed practical nurse in Edgewood, New Mexico, licensed in Colorado (PN.0045666) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1295320489
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSERINA JOHNSON
Location Address104 QUAIL TRAIL, UNIT BEdgewood, NM 87015
Mailing Address104 Quail Trail, Unit BEdgewood, NM 87015 · (505) 208-0204
Phone(505) 208-0204
Sole ProprietorNo
Enumeration DateMarch 9, 2021
NPPES CertifiedMarch 9, 2021
✔ NPI 1295320489 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 CO · PN.0045666
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.
104 QUAIL TRAIL, Edgewood, NM 87015
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Other Providers at the Same Location NPPES 4

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

THU THANH NGUYEN FNP
Nurse Practitioner (Family)
104 QUAIL TRAIL, UNIT B
EDGEWOOD, NM 87015
Santa Fe County (505) 208-0204
THOMAS BLACK NP
Nurse Practitioner (Family)
104 QUAIL TRAIL, UNIT B
EDGEWOOD, NM 87015
Santa Fe County (505) 208-0208
MRS. KALEIGH ROBERTS FNP
Nurse Practitioner (Family)
104 QUAIL TRAIL, UNIT B
EDGEWOOD, NM 87015
Santa Fe County (505) 208-0204
DOUGLAS IVAN LUDINGTON NP
Nurse Practitioner (Family)
104 QUAIL TRAIL, UNIT B
EDGEWOOD, NM 87015
Santa Fe County (505) 208-0204

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 Serina Johnson's NPI number?

The NPI number for Serina Johnson is 1295320489. It was assigned to this individual provider in the NPPES registry on March 9, 2021.

Where is Serina Johnson located?

Serina Johnson practices at 104 Quail Trail Unit B, Edgewood, NM 87015. The listed phone number is (505) 208-0204.

What is Serina 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 Serina Johnson was last updated on March 9, 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.