AMIYA JADA JOHNSON APRN NPI 1871371633

NPI Information

  • NPI: 1871371633
  • Provider Name: AMIYA JADA JOHNSON, APRN
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1400 75TH ST
    KENOSHA, WI
    ZIP 53143
  • Phone: (262) 909-6008

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NPI Details

Amiya Jada Johnson, APRN is a psychiatric/mental health nurse practitioner in Kenosha, WI. Amiya Jada Johnson, APRN NPI is 1871371633. 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:

1400 75TH ST
KENOSHA, WI
ZIP 53143-544
Phone: (262) 909-6008

The NPI 1871371633 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 9/21/2023 and was last updated on 10/20/2025.

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 Nurse041.518035ILLINOISNo
2363LP0808XNurse PractitionerPsychiatric/Mental Health16909-33WISCONSINYes

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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