SHELBY JOHNSON LPN
NPI 1972085900
Licensed Practical Nurse in Fulton, NY

Active since September 06, 2018
4219 STATE ROUTE 3, FULTON, NY 13069(315) 715-1498 Get Directions Write a Review

NPPES record last updated: September 6, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shelby Johnson Lpn NPPES

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

SHELBY JOHNSON LPN (NPI 1972085900) is an individual licensed practical nurse in Fulton, New York, licensed in New York (315707) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1972085900
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSHELBY JOHNSONCredential: LPN
Location Address4219 STATE ROUTE 3Fulton, NY 13069-3640
Mailing Address4219 State Route 3Fulton, NY 13069-3640
Sole ProprietorNo
Enumeration DateSeptember 6, 2018
NPI 1972085900 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 NY · 315707
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.
4219 STATE ROUTE 3, Fulton, NY 13069

Other Names 1

Former Name (1)Shelby Cole Lpn

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 Shelby Johnson's NPI number?

The NPI number for Shelby Johnson is 1972085900. It was assigned to this individual provider in the NPPES registry on September 6, 2018. The provider is also known as Shelby Cole Lpn.

Where is Shelby Johnson located?

Shelby Johnson practices at 4219 State Route 3, Fulton, NY 13069. The listed phone number is (315) 715-1498.

What is Shelby 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 Shelby Johnson was last updated on September 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.