JOHNNIE JOHNSON-MORENO LPN
NPI 1619790656
Licensed Practical Nurse in Goodyear, AZ

Active since November 07, 2024
325 S WILDFLOWER DR, GOODYEAR, AZ 85338(623) 772-5210(623) 772-5220 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Johnnie Johnson-moreno Lpn NPPES

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

JOHNNIE JOHNSON-MORENO LPN (NPI 1619790656) is an individual licensed practical nurse in Goodyear, Arizona, licensed in Arizona (245288) and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1619790656
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameJOHNNIE JOHNSON-MORENOCredential: LPN
Location Address325 S WILDFLOWER DRGoodyear, AZ 85338-6869
Mailing Address325 S Wildflower DrGoodyear, AZ 85338-6869 · (623) 772-5210 · Fax (623) 772-5220
Fax(623) 772-5220
Sole ProprietorYes
Enumeration DateNovember 7, 2024
NPPES CertifiedNovember 7, 2024
NPI 1619790656 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 AZ · 245288
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.
325 S WILDFLOWER DR, Goodyear, AZ 85338

Other Providers at the Same Location NPPES 5

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

Registered Nurse (School)
325 S WILDFLOWER DR
GOODYEAR, AZ 85338
Psychologist
325 S WILDFLOWER DR
GOODYEAR, AZ 85338
Counselor (School)
325 S WILDFLOWER DR
GOODYEAR, AZ 85338
Licensed Practical Nurse
325 S WILDFLOWER DR
GOODYEAR, AZ 85338
Licensed Practical Nurse
325 S WILDFLOWER DR
GOODYEAR, AZ 85338

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 Johnnie Johnson-moreno's NPI number?

The NPI number for Johnnie Johnson-moreno is 1619790656. It was assigned to this individual provider in the NPPES registry on November 7, 2024.

Where is Johnnie Johnson-moreno located?

Johnnie Johnson-moreno practices at 325 S Wildflower Dr, Goodyear, AZ 85338. The listed phone number is (623) 772-5210.

What is Johnnie Johnson-moreno'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 Johnnie Johnson-moreno was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.