1. Home
  2. Directory
  3. Virginia
  4. Petersburg
  5. Licensed Practical Nurse
  6. NPI Profile
Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SUSAN JOHNSON
NPI 1811800881
Licensed Practical Nurse in Petersburg, VA

Active since September 23, 2026
263 MEDICAL PARK BLVD, PETERSBURG, VA 23805(804) 431-1100 Get Directions Write a Review

NPPES record added: September 23, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Susan Johnson NPPES

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

SUSAN JOHNSON (NPI 1811800881) is an individual licensed practical nurse in Petersburg, Virginia, licensed in Virginia (0002087164) and active in the NPI registry since September 2026. She maintains a secondary practice location in Prince George.

NPPES Registry Identity

NPI1811800881
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSUSAN JOHNSON
Location Address263 MEDICAL PARK BLVDPetersburg, VA 23805-9337
Mailing Address18305 Lebanon RdSpring Grove, VA 23881-8902 · (804) 431-1100
Phone(804) 431-1100
Sole ProprietorNo
Enumeration DateSeptember 23, 2026
NPPES CertifiedSeptember 23, 2026
✔ NPI 1811800881 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 VA · 0002087164
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.
263 MEDICAL PARK BLVD, Petersburg, VA 23805
Open in Google Maps ↗

Secondary Practice Location 1

Location 14730 Puddledock Rd Ste 100Prince George, VA 23875-1274 · Phone (804) 452-3850

Other Providers at the Same Location NPPES 3

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

RASHA KAFI NP
Nurse Practitioner
263 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Petersburg City (804) 431-1100
MRS. GABRIELLE LYNN FARRAR NP
Nurse Practitioner
263 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Petersburg City (804) 431-1100
LABORATORY CORPORATION OF AMERICA HOLDINGS
Clinical Medical Laboratory
263 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Petersburg City (804) 722-1547

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 Susan Johnson's NPI number?

The NPI number for Susan Johnson is 1811800881. It was assigned to this individual provider in the NPPES registry on September 23, 2026.

Where is Susan Johnson located?

Susan Johnson practices at 263 Medical Park Blvd, Petersburg, VA 23805. The listed phone number is (804) 431-1100.

What is Susan 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 Susan Johnson was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.