ANDREA JOHNSON
NPI 1689305435
Licensed Practical Nurse in Medford, NY

Q: What is Andrea Johnson's NPI number?

The NPI number for Andrea Johnson is 1689305435. It was assigned to this individual provider in the NPPES registry on June 22, 2022.

Q: What is Andrea 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 Andrea Johnson was last updated on June 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 22, 2022

1105 LAKE DR, MEDFORD, NY 11763(631) 626-2537 Get Directions Write a Review

NPPES record last updated: June 22, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Andrea Johnson NPPES

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

ANDREA JOHNSON (NPI 1689305435) is an individual licensed practical nurse in Medford, New York, licensed in New York (343504) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1689305435

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameANDREA JOHNSON

Location Address1105 LAKE DRMedford, NY 11763-4620

Mailing Address1105 Lake DrMedford, NY 11763-4620

Phone(631) 626-2537

Sole ProprietorNo

Enumeration DateJune 22, 2022

NPPES CertifiedJune 22, 2022

✔ NPI 1689305435 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 · 343504

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.

1105 LAKE DR, Medford, NY 11763

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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 Andrea Johnson's NPI number?

The NPI number for Andrea Johnson is 1689305435. It was assigned to this individual provider in the NPPES registry on June 22, 2022.

Where is Andrea Johnson located?

Andrea Johnson practices at 1105 Lake Dr, Medford, NY 11763. The listed phone number is (631) 626-2537.

What is Andrea 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 Andrea Johnson was last updated on June 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.