Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
KENT ALAN JOHNSON
Active
Individual
KENT ALAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
86602
OK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
C-APN.0100511-C-NP
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
C.RXN.0100341-C-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200528420A
—
OK
01
—
344359YRHZ
MEDICARE PTAN
OK
Enumeration date
02/10/2014
Last updated
08/22/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up