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KELLY C JOHNSON LPN
NPI 1558078667
Licensed Practical Nurse in Rochester, NY

Active since October 31, 2022
123 FALSTAFF RD, ROCHESTER, NY 14609(585) 456-8566 Get Directions Write a Review

NPPES record last updated: November 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 10, 2022, Oct 31, 2022 (2 updates tracked since 2022).

About Kelly C Johnson Lpn NPPES

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

KELLY C JOHNSON LPN (NPI 1558078667) is an individual licensed practical nurse in Rochester, New York, licensed in New York (342555-01) and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1558078667
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKELLY C JOHNSONCredential: LPN
Location Address123 FALSTAFF RDRochester, NY 14609-5538
Mailing Address123 Falstaff RdRochester, NY 14609-5538 · (585) 456-8566
Phone(585) 456-8566
Sole ProprietorNo
Enumeration DateOctober 31, 2022
Last NPPES UpdateNovember 10, 20222 updates tracked since enumeration
NPPES CertifiedNovember 10, 2022
✔ NPI 1558078667 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 · 342555-01
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.
123 FALSTAFF RD, Rochester, NY 14609
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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 Kelly Johnson's NPI number?

The NPI number for Kelly Johnson is 1558078667. It was assigned to this individual provider in the NPPES registry on October 31, 2022.

Where is Kelly Johnson located?

Kelly Johnson practices at 123 Falstaff Rd, Rochester, NY 14609. The listed phone number is (585) 456-8566.

What is Kelly 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 Kelly Johnson was last updated on November 10, 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.