1. Home
  2. Directory
  3. Minnesota
  4. Plymouth
  5. Licensed Practical Nurse
  6. NPI Profile

CAROLYN JOHNSON LPN
NPI 1760135826
Licensed Practical Nurse in Plymouth, MN

Active since January 30, 2022
3333 HARBOR LN N APT 6-303, PLYMOUTH, MN 55447(208) 699-1276 Get Directions Write a Review

NPPES record last updated: January 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carolyn Johnson Lpn NPPES

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

CAROLYN JOHNSON LPN (NPI 1760135826) is an individual licensed practical nurse in Plymouth, Minnesota, licensed in Minnesota (818308) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1760135826
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameCAROLYN JOHNSONCredential: LPN
Location Address3333 HARBOR LN N APT 6-303Plymouth, MN 55447-8854
Mailing Address3333 Harbor Ln N Apt 6-303Plymouth, MN 55447-8854 · (208) 699-1276
Phone(208) 699-1276
Sole ProprietorYes
Enumeration DateJanuary 30, 2022
NPPES CertifiedJanuary 30, 2022
✔ NPI 1760135826 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 MN · 818308
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.
3333 HARBOR LN N APT 6-303, Plymouth, MN 55447
Open in Google Maps ↗

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 Carolyn Johnson's NPI number?

The NPI number for Carolyn Johnson is 1760135826. It was assigned to this individual provider in the NPPES registry on January 30, 2022.

Where is Carolyn Johnson located?

Carolyn Johnson practices at 3333 Harbor Ln N Apt 6-303, Plymouth, MN 55447. The listed phone number is (208) 699-1276.

What is Carolyn 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 Carolyn Johnson was last updated on January 30, 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.