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KELLIE DIANN JOHNSON
NPI 1750690004
Licensed Vocational Nurse in Huntsville, TX

Active since October 05, 2010
1412 15TH ST, HUNTSVILLE, TX 77340(936) 222-0788 Get Directions Write a Review

NPPES record last updated: October 5, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kellie Diann Johnson NPPES

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

KELLIE DIANN JOHNSON (NPI 1750690004) is an individual licensed vocational nurse in Huntsville, Texas, licensed in Texas (221883) and active in the NPI registry since October 2010.

NPPES Registry Identity

NPI1750690004
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameKELLIE DIANN JOHNSON
Location Address1412 15TH STHuntsville, TX 77340-4430
Mailing Address1412 15th StHuntsville, TX 77340-4430 · (936) 222-0788
Phone(936) 222-0788
Sole ProprietorYes
Enumeration DateOctober 5, 2010
✔ NPI 1750690004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License✔ Licensed in TX · 221883
Definition
A licensed vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
1412 15TH ST, Huntsville, TX 77340
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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 Kellie Johnson's NPI number?

The NPI number for Kellie Johnson is 1750690004. It was assigned to this individual provider in the NPPES registry on October 5, 2010.

Where is Kellie Johnson located?

Kellie Johnson practices at 1412 15th St, Huntsville, TX 77340. The listed phone number is (936) 222-0788.

What is Kellie Johnson's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Kellie Johnson was last updated on October 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.