VALERIE JOHNSON NURSE PRACTITIONER NPI 1629227434

NPI Information

  • NPI: 1629227434
  • Provider Name: VALERIE JOHNSON, NURSE PRACTITIONER
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 117 W SYCAMORE ST
    KOKOMO, IN
    ZIP 46901
  • Phone: (765) 854-2440

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NPI Details

Valerie Johnson, NURSE PRACTITIONER is a family nurse practitioner in Kokomo, IN with 20 years of experience. Valerie Johnson, NURSE PRACTITIONER NPI is 1629227434. 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:

117 W SYCAMORE ST
KOKOMO, IN
ZIP 46901-634
Phone: (765) 854-2440
Fax: (765) 854-2450

The NPI 1629227434 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 9/17/2008 and was last updated on 9/29/2014.

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
1363LF0000XNurse PractitionerFamily71002727INDIANAYes

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
1200919480MEDICAIDINDIANA
2IN1663059MEDICARE PININDIANA

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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