Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amiya Jada Johnson, APRN

Individual provider Registered Nurse · NPI 1871371633

Amiya Jada Johnson, APRN is a Nurse Practitioner in Kenosha, Wisconsin. Qualified in 2024, 2 years ago. Licensed in Illinois and Wisconsin.

Years since qualifying
2
Licensed in
IL, WI
In the registry since
2023
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

1400 75th St
Kenosha, WI 53143-1544
Phone: (262) 909-6008
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 16909-33 (WI)
Registered Nurse Taxonomy 163W00000X · Licence 041.518035 (IL)

Record details

NPI number1871371633
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedSeptember 21, 2023
Last updated in NPPESOctober 20, 2025
Certification dateOctober 20, 2025
Mailing address1400 75th St, Kenosha, WI 53143-1544

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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