MR. BRIAN KEITH JOHNSON FNP-C CRNFA MSN NPI 1124180708

NPI Information

  • NPI: 1124180708
  • Provider Name: MR. BRIAN KEITH JOHNSON, FNP-C, CRNFA, MSN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 21200 S LAGRANGE RD
    SUITE 134
    FRANKFORT, IL
    ZIP 60423
  • Phone: (708) 256-0816

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NPI Details

MR. Brian Keith Johnson, FNP-C, CRNFA, MSN is a family nurse practitioner in Frankfort, IL with 14 years of experience. MR. Brian Keith Johnson, FNP-C, CRNFA, MSN NPI is 1124180708. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

21200 S LAGRANGE RD
SUITE 134
FRANKFORT, IL
ZIP 60423-003
Phone: (708) 256-0816
Fax: (815) 534-5576

The NPI 1124180708 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 2/3/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WR0006XRegistered NurseRegistered Nurse First Assistant041-249147ILLINOISNo
2363LF0000XNurse PractitionerFamily209009090ILLINOISNo
3363LF0000XNurse PractitionerFamilyNP95020729CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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