KIM Y JOHNSON LPN
NPI 1609042787
Licensed Practical Nurse in Syracuse, NY

Q: What is Kim Johnson's NPI number?

The NPI number for Kim Johnson is 1609042787. It was assigned to this individual provider in the NPPES registry on May 7, 2008.

Q: What is Kim 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 Kim Johnson was last updated on August 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 May 07, 2008

2125 JAMES ST, SYRACUSE, NY 13206(315) 432-0039 Get Directions Write a Review

NPPES record last updated: August 11, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kim Y Johnson Lpn NPPES

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

KIM Y JOHNSON LPN (NPI 1609042787) is an individual licensed practical nurse in Syracuse, New York, licensed in New York (254565-1) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1609042787

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameKIM Y JOHNSONCredential: LPN

Location Address2125 JAMES STSyracuse, NY 13206-3209

Mailing Address2125 James StSyracuse, NY 13206-3209 · (315) 432-0039

Phone(315) 432-0039

Sole ProprietorYes

Enumeration DateMay 7, 2008

Last NPPES UpdateAugust 11, 2008

✔ NPI 1609042787 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 · 254565-1

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.

2125 JAMES ST, Syracuse, NY 13206

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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 Kim Johnson's NPI number?

The NPI number for Kim Johnson is 1609042787. It was assigned to this individual provider in the NPPES registry on May 7, 2008.

Where is Kim Johnson located?

Kim Johnson practices at 2125 James St, Syracuse, NY 13206. The listed phone number is (315) 432-0039.

What is Kim 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 Kim Johnson was last updated on August 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.