Mathilda O Johnson , LPN
Licensed Practical Nurse • Milwaukee, WI
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, Mathilda Johnson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Mathilda Johnson, LPN was a registered Licensed Practical Nurse practicing in Milwaukee, WI. Throughout an active medical career spanning 12 years, Mathilda Johnson provided care at the practice location at 1626 N PROSPECT AVE APT 805 until profile deactivation on 2022-04-12.
Practice Location & Contact Primary Location
1626 N Prospect Ave Apt 805
Milwaukee, WI 532022422
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Milwaukee, WI
Practicing in Milwaukee, WI (1775 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 April 12, 2022
NPI status registered as active in NPPES database
Registered at 1626 N PROSPECT AVE APT 805, MILWAUKEE, WI 532022422 (Tel: 6787990500)
Registered at 1626 N PROSPECT AVE APT 805, MILWAUKEE, WI 532022422 (Tel: 6787990500)
Recorded as MATHILDA JOHNSON, LPN
Licensed Practical Nurse (License #310559031 in WI)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1626 N Prospect Ave Apt 805
Milwaukee, WI 532022422
Phone: 6787990500
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