Kim H Johnson
Licensed Practical Nurse • Troy, 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, Kim Johnson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Kim Johnson was a registered Licensed Practical Nurse practicing in Troy, NY. Throughout an active medical career spanning 10 years, Kim Johnson provided care at the practice location at 1 CONWAY CT until profile deactivation on 2020-06-15.
Practice Location & Contact Primary Location
1 Conway Ct
Troy, NY 121802108
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Troy, NY
Practicing in Troy, 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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Licensed Practical Nurse
Licensed Practical Nurse
Registered Nurse
Registered Nurse
Licensed Practical Nurse
Licensed Practical Nurse
Licensed Practical Nurse
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 15, 2020
NPI status registered as active in NPPES database
Registered at 1 CONWAY CT, TROY, NY 121802108 (Tel: 5182746525)
Registered at 270 YATES ST, ALBANY, NY 122083315 (Tel: 5182746525)
Recorded as KIM JOHNSON
Licensed Practical Nurse (License #237690 in NY)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
270 Yates St
Albany, NY 122083315
Phone: 5182746525
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