STACY ELAINE JOHNSON
NPI 1740013457
Technician - Personal Care Attendant in Fargo, ND

Q: What is Stacy Johnson's NPI number?

The NPI number for Stacy Johnson is 1740013457. It was assigned to this individual provider in the NPPES registry on August 20, 2024.

Q: What is Stacy Johnson's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Johnson was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 August 20, 2024

3520 42ND ST S APT 304, FARGO, ND 58104(612) 462-3986 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Stacy Elaine Johnson NPPES

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

STACY ELAINE JOHNSON (NPI 1740013457) is an individual personal care attendant in Fargo, North Dakota and active in the NPI registry since August 2024. She maintains a secondary practice location in Fargo.

NPPES Registry Identity

NPI1740013457

Entity TypeIndividualFemale

Primary Taxonomy3747P1801X

Provider Legal NameSTACY ELAINE JOHNSON

Location Address3520 42ND ST S APT 304Fargo, ND 58104-6967

Mailing Address1820 40th St S Apt 210Fargo, ND 58103-4469 · (501) 420-8479

Phone(612) 462-3986

Sole ProprietorYes

Enumeration DateAugust 20, 2024

NPPES CertifiedAugust 20, 2024

✔ NPI 1740013457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers

Taxonomy Code3747P1801X

Definition

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

3520 42ND ST S APT 304, Fargo, ND 58104

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Secondary Practice Location 1

Location 11820 40th St S Apt 210Fargo, ND 58103-4469 · Phone (501) 420-8479

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Stacy Johnson's NPI number?

The NPI number for Stacy Johnson is 1740013457. It was assigned to this individual provider in the NPPES registry on August 20, 2024.

Where is Stacy Johnson located?

Stacy Johnson practices at 3520 42nd St S Apt 304, Fargo, ND 58104. The listed phone number is (612) 462-3986.

What is Stacy Johnson's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Stacy Johnson was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.