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KEALY JOHNSON
NPI 1306643663
Technician - Personal Care Attendant in Baxter, MN

Active since February 25, 2025
13876 KELLY DR, BAXTER, MN 56425(218) 821-5651 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kealy Johnson NPPES

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

KEALY JOHNSON (NPI 1306643663) is an individual personal care attendant in Baxter, Minnesota and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1306643663
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameKEALY JOHNSON
Location Address13876 KELLY DRBaxter, MN 56425-7422
Mailing Address13876 Kelly DrBaxter, MN 56425-7422 · (218) 821-5651
Phone(218) 821-5651
Sole ProprietorNo
Enumeration DateFebruary 25, 2025
NPPES CertifiedFebruary 25, 2025
✔ NPI 1306643663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
13876 KELLY DR, Baxter, MN 56425
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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 Kealy Johnson's NPI number?

The NPI number for Kealy Johnson is 1306643663. It was assigned to this individual provider in the NPPES registry on February 25, 2025.

Where is Kealy Johnson located?

Kealy Johnson practices at 13876 Kelly Dr, Baxter, MN 56425. The listed phone number is (218) 821-5651.

What is Kealy Johnson's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Kealy Johnson was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.