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Active NPI 1497746549 Individual Practitioner Male Practitioner

Kenneth M Johnson , LPN

Licensed Practical Nurse • Ft Meade, MD

Professional Overview & Biography Verified Profile Summary

Kenneth Johnson, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Ft Meade, MD. Practice services are available at 2480 LLEWELLYN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2480 Llewellyn Ave

Ft Meade, MD 207555800

Telephone 3016778394
Fax 3016778876

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Ft Meade, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Ft Meade, MD (636 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

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License MD LP24559

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Licensed Practical Nurse
LP24559 (MD)

Practice Associates & Co-Workers

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

3 Associated Practitioners
Joan Twigg , RN, BS, OHN

Registered Nurse - Occupational Health

NPI 1104816974

Registered Nurse, Bachelor of Science, OHN

Chunhui Kim , RN, BSN, COHN-S

Registered Nurse - Occupational Health

NPI 1558351684

Registered Nurse, Bachelor of Science in Nursing, COHNS

Marguerite Morrison , RN, BS, COHN-S

Registered Nurse - Occupational Health

NPI 1689664443

Registered Nurse, Bachelor of Science, COHNS

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2480 LLEWELLYN AVE, FT MEADE, MD 207555800 (Tel: 3016778394)

📍
Updated Business Mailing Address July 08, 2007

Registered at 14018 BRIARWOOD DR, LAUREL, MD 207081308 (Tel: 3017761771)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KENNETH JOHNSON, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Licensed Practical Nurse (License #LP24559 in MD)

🟢
Initial NPI Registration & Enumeration October 28, 2005

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: 1497746549
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 28, 2005
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

14018 Briarwood Dr

Laurel, MD 207081308

Phone: 3017761771

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.