ANDREA JOHNSON
NPI 1861866147
Licensed Practical Nurse in Detroit, MI

Q: What is Andrea Johnson's NPI number?

The NPI number for Andrea Johnson is 1861866147. It was assigned to this individual provider in the NPPES registry on November 24, 2015.

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 November 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 November 24, 2015

21203 N HART PL, DETROIT, MI 48220(248) 688-5065 Get Directions Write a Review

NPPES record last updated: November 24, 2015. Verified against the NPPES registry weekly; last sync: August 02, 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 1861866147) is an individual licensed practical nurse in Detroit, Michigan, licensed in Michigan (4703111959) and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1861866147

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameANDREA JOHNSON

Location Address21203 N HART PLDetroit, MI 48220-2108

Mailing Address21203 N. Hart Pl.Detroit, MI 48220 · (248) 688-5065

Phone(248) 688-5065

Sole ProprietorNo

Enumeration DateNovember 24, 2015

✔ NPI 1861866147 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 MI · 4703111959

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.

21203 N HART PL, Detroit, MI 48220

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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 1861866147. It was assigned to this individual provider in the NPPES registry on November 24, 2015.

Where is Andrea Johnson located?

Andrea Johnson practices at 21203 N Hart Pl, Detroit, MI 48220. The listed phone number is (248) 688-5065.

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 November 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.