Individual
KELLIE NICOLE JOHNSON
Active
Individual
KELLIE NICOLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1845
NE
363LA2200X
Adult Health Nurse Practitioner
Primary
111063
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111063
APRN LICENSE
NE
01
—
1845 TEMP
APRN LICENSE
NE
05
—
47084496100
—
NE
01
—
63153
RN LICENSE
NE
Enumeration date
07/22/2009
Last updated
11/14/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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