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Active NPI 1376245886 Individual Practitioner Female Practitioner

Stephanie Johnson , LPN

Licensed Practical Nurse • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Stephanie Johnson, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Fort Wayne, IN. Practice services are available at 2121 LAKE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2121 Lake Ave

Fort Wayne, IN 468055100

Telephone 2604265434
Associated Practice Facility / Clinic
🏢 Marion Vamc Facility NPI 1427016369

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
72 Specialists

Practicing in Fort Wayne, IN (590 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-03-20
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License IN 27054693A

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Tammy Moehle

Registered Nurse - Oncology

NPI 1003510157
NPI 1003779331

Doctor of Pharmacy (Pharm.D.)

Dr. Ashley Fulton , PharmD

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1013222645

Doctor of Pharmacy (Pharm.D.)

Hannah Dulinsky , RN

Registered Nurse - Home Health

NPI 1013617547

Registered Nurse

Danielle Schultz

Registered Nurse

NPI 1013618040
NPI 1023030285

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 20, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location March 20, 2023

Registered at 2121 LAKE AVE, FORT WAYNE, IN 468055100 (Tel: 2604265434)

📍
Updated Business Mailing Address March 20, 2023

Registered at 2121 LAKE AVE, FORT WAYNE, IN 468055100

👤
Provider Name / Credentials Updated March 20, 2023

Recorded as STEPHANIE JOHNSON, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2023

Licensed Practical Nurse (License #27054693A in IN)

🟢
Initial NPI Registration & Enumeration March 20, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376245886
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 20, 2023
Last Update: March 20, 2023
Sole Proprietor: Yes

Mailing Address

2121 Lake Ave

Fort Wayne, IN 468055100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.