KELLIE JEAN JOHNSON NP-C
NPI 1891668679
Nurse Practitioner in Nixa, MO

Q: What is Kellie Johnson's NPI number?

The NPI number for Kellie Johnson is 1891668679. It was assigned to this individual provider in the NPPES registry on September 26, 2025.

Q: What is Kellie Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kellie Johnson was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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 September 26, 2025

1673 W COUNTRY RD, NIXA, MO 65714(417) 439-1900 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kellie Jean Johnson Np-c NPPES

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

KELLIE JEAN JOHNSON NP-C (NPI 1891668679) is an individual nurse practitioner in Nixa, Missouri, licensed in Missouri (2025026813) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1891668679

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKELLIE JEAN JOHNSONCredential: NP-C

Location Address1673 W COUNTRY RDNixa, MO 65714-7971

Mailing Address1673 W Country RdNixa, MO 65714-7971 · (417) 439-1900

Phone(417) 439-1900

Sole ProprietorYes

Enumeration DateSeptember 26, 2025

NPPES CertifiedSeptember 26, 2025

✔ NPI 1891668679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MO · 2025026813

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1673 W COUNTRY RD, Nixa, MO 65714

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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 1891668679. It was assigned to this individual provider in the NPPES registry on September 26, 2025.

Where is Kellie Johnson located?

Kellie Johnson practices at 1673 W Country Rd, Nixa, MO 65714. The listed phone number is (417) 439-1900.

What is Kellie Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Kellie Johnson was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.