KERI LYNN JOHNSON CRNP NPI 1881634459

NPI Information

  • NPI: 1881634459
  • Provider Name: KERI LYNN JOHNSON, CRNP
  • Classification: Nurse Practitioner - 363LW0102X
  • Specialization: Women's Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8815 GERMANTOWN AVE
    SUITE 40
    PHILADELPHIA, PA
    ZIP 19118
  • Phone: (215) 248-3100

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NPI Details

Keri Lynn Johnson, CRNP is a women's health nurse practitioner in Philadelphia, PA with 26 years of experience. Keri Lynn Johnson, CRNP NPI is 1881634459. 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:

8815 GERMANTOWN AVE
SUITE 40
PHILADELPHIA, PA
ZIP 19118-722
Phone: (215) 248-3100
Fax: (215) 248-3971

The NPI 1881634459 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 6/8/2006 and was last updated on 1/10/2019.

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 NurseL1-0026503DELAWARENo
2363LW0102XNurse PractitionerWomen's HealthLH-0000229DELAWAREYes
3363LX0001XNurse PractitionerObstetrics & GynecologySP006775VPENNSYLVANIANo

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
1101526057MEDICAIDPENNSYLVANIA

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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