Nirva Johnson , LPN
Licensed Practical Nurse • Freeport, NY
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, Nirva Johnson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Nirva Johnson, LPN was a registered Licensed Practical Nurse practicing in Freeport, NY. Throughout an active medical career spanning 8 years, Nirva Johnson provided care at the practice location at 265 RANDALL AVE until profile deactivation on 2018-01-01.
Practice Location & Contact Primary Location
265 Randall Ave
Freeport, NY 115202645
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Freeport, NY
Practicing in Freeport, NY (23738 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
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Record deactivated on January 01, 2018
NPI status registered as active in NPPES database
Registered at 265 RANDALL AVE, FREEPORT, NY 115202645 (Tel: 5164130868)
Registered at 265 RANDALL AVE, FREEPORT, NY 115202645 (Tel: 5164130868)
Recorded as NIRVA JOHNSON, LPN
Licensed Practical Nurse (License #239725 in NY)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
265 Randall Ave
Freeport, NY 115202645
Phone: 5164130868
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