KIMBERLY JOHNSON NPI 1154045961

NPI Information

  • NPI: 1154045961
  • Provider Name: KIMBERLY JOHNSON
  • Classification: Registered Nurse - 163WC0400X
  • Specialization: Case Management
  • Entity Type: Individual
  • Address: 4646 JOHN R ST
    DETROIT, MI
    ZIP 48201
  • Phone: (313) 576-3678

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NPI Details

Kimberly Johnson is a case management registered nurse in Detroit, MI. Kimberly Johnson NPI is 1154045961. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4646 JOHN R ST
DETROIT, MI
ZIP 48201-916
Phone: (313) 576-3678

The enumeration date for this NPI number is 9/27/2022 and was last updated on 9/27/2022.

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
1163WC0400XRegistered NurseCase Management4704245734MICHIGANYes

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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