CALEB JOHNSON NPI 1952247405

NPI Information

  • NPI: 1952247405
  • Provider Name: CALEB JOHNSON
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 1058 BLAIR AVE
    SAINT PAUL, MN
    ZIP 55104
  • Phone: (507) 514-0449

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NPI Details

Caleb Johnson is a psychiatric/mental health nurse practitioner in Saint Paul, MN. Caleb Johnson NPI is 1952247405. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1058 BLAIR AVE
SAINT PAUL, MN
ZIP 55104-120
Phone: (507) 514-0449

The enumeration date for this NPI number is 4/27/2026 and was last updated on 4/27/2026.

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
1363LP0808XNurse PractitionerPsychiatric/Mental Health14057MINNESOTAYes

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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