KENYATTA JOHNSON
NPI 1316764863
Licensed Practical Nurse in Staten Island, NY

Q: What is Kenyatta Johnson's NPI number?

The NPI number for Kenyatta Johnson is 1316764863. It was assigned to this individual provider in the NPPES registry on September 25, 2024.

Q: What is Kenyatta Johnson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenyatta Johnson was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since September 25, 2024

254A LAKE AVE, STATEN ISLAND, NY 10303(718) 502-7608 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kenyatta Johnson NPPES

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

KENYATTA JOHNSON (NPI 1316764863) is an individual licensed practical nurse in Staten Island, New York, licensed in New York (351207) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1316764863

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameKENYATTA JOHNSON

Location Address254A LAKE AVEStaten Island, NY 10303-2602

Mailing Address254a Lake AveStaten Island, NY 10303-2602 · (718) 502-7608

Phone(718) 502-7608

Sole ProprietorYes

Enumeration DateSeptember 25, 2024

NPPES CertifiedSeptember 25, 2024

✔ NPI 1316764863 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 · 351207

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.

254A LAKE AVE, Staten Island, NY 10303

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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 Kenyatta Johnson's NPI number?

The NPI number for Kenyatta Johnson is 1316764863. It was assigned to this individual provider in the NPPES registry on September 25, 2024.

Where is Kenyatta Johnson located?

Kenyatta Johnson practices at 254A Lake Ave, Staten Island, NY 10303. The listed phone number is (718) 502-7608.

What is Kenyatta 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 Kenyatta Johnson was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.