Kathleen Johnson
Licensed Practical Nurse • Stuart, FL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kathleen Johnson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Kathleen Johnson was a registered Licensed Practical Nurse practicing in Stuart, FL. Throughout an active medical career spanning 15 years, Kathleen Johnson provided care at the practice location at 2165 SE WAYNE RD until profile deactivation on 2022-02-18.
Practice Location & Contact Primary Location
2165 Se Wayne Rd
Stuart, FL 349944598
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Stuart, FL
Practicing in Stuart, FL (1995 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 164W00000X
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on February 18, 2022
NPI status registered as active in NPPES database
Registered at 2165 SE WAYNE RD, STUART, FL 349944598 (Tel: 7726311212)
Registered at 2165 SE WAYNE RD, STUART, FL 349944598
Recorded as KATHLEEN JOHNSON
Licensed Practical Nurse (License #PN5166874 in FL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
2165 Se Wayne Rd
Stuart, FL 349944598
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