STACEY A JOHNSON
NPI 1386212009
Licensed Practical Nurse in Troy, NY

Q: What is Stacey Johnson's NPI number?

The NPI number for Stacey Johnson is 1386212009. It was assigned to this individual provider in the NPPES registry on June 17, 2021.

Q: What is Stacey 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 Stacey Johnson was last updated on June 17, 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.

Active since June 17, 2021

289 OAKWOOD AVE STE C, TROY, NY 12182(518) 274-6525 Get Directions Write a Review

NPPES record last updated: June 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Stacey A Johnson NPPES

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

STACEY A JOHNSON (NPI 1386212009) is an individual licensed practical nurse in Troy, New York, licensed in New York (278273) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1386212009

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameSTACEY A JOHNSON

Location Address289 OAKWOOD AVE STE CTroy, NY 12182-1708

Mailing Address289 Oakwood Ave Ste CTroy, NY 12182-1708 · (518) 274-6525

Phone(518) 274-6525

Sole ProprietorNo

Enumeration DateJune 17, 2021

NPPES CertifiedJune 17, 2021

✔ NPI 1386212009 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 · 278273

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.

289 OAKWOOD AVE STE C, Troy, NY 12182

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Other Providers at the Same Location NPPES 16

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

MORGAN M WOODLIEF

Licensed Practical Nurse