KIMBERLY JOHNSON RN NP NPI 1295197523

NPI Information

  • NPI: 1295197523
  • Provider Name: KIMBERLY JOHNSON, RN, NP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 445 BROADHOLLOW RD STE 25
    MELVILLE, NY
    ZIP 11747
  • Phone: (631) 223-8852

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NPI Details

Kimberly Johnson, RN, NP is an adult health nurse practitioner in Melville, NY. Kimberly Johnson, RN, NP NPI is 1295197523. 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:

445 BROADHOLLOW RD STE 25
MELVILLE, NY
ZIP 11747-645
Phone: (631) 223-8852
Fax: (631) 350-0331

The NPI 1295197523 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 3/25/2016 and was last updated on 11/13/2025.

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
1163W00000XRegistered Nurse321125NORTH CAROLINANo
2163W00000XRegistered Nurse655384PENNSYLVANIANo
3163W00000XRegistered Nurse661348NEW YORKNo
4363LA2200XNurse PractitionerAdult Health310859NEW YORKYes

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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