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

Kassidy Veda Johnson

Individual provider Community Health Worker · NPI 1780442095

Kassidy Veda Johnson is a Community Health Worker in Salt Lake City, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2024

Practice location Address checks out

780 S Guardsman Way
Salt Lake City, UT 84108-1374
Phone: (801) 581-0194
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X (UT)

Record details

NPI number1780442095
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 11, 2024
Last updated in NPPESMarch 11, 2024
Certification dateMarch 11, 2024

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