AMY L KINDRED JOHNSON CPNP-PC NPI 1407055353

NPI Information

NPI: 1407055353
Provider Name: AMY L KINDRED JOHNSON, CPNP-PC
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
415 N 9TH ST
SPRINGFIELD, IL
ZIP 62702
Phone: (217) 545-8000
Get Directions

Amy L Kindred Johnson, CPNP-PC is a pediatrics nurse practitioner in Springfield, IL. Amy L Kindred Johnson, CPNP-PC NPI is 1407055353. 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:

415 N 9TH ST
SPRINGFIELD, IL
ZIP 62702-303
Phone: (217) 545-8000
Fax: (217) 757-6844

The NPI 1407055353 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 7/12/2007 and was last updated on 8/6/2021.

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
1	363LP0200X	Nurse Practitioner	Pediatrics	277000915	ILLINOIS	No
2	363LP0200X	Nurse Practitioner	Pediatrics	209-003537	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	209-003537	OTHER	ILLINOIS	STATE LICENSE

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: 4/28/2024

NPI Synchronization or Removal

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