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

Kimberly Johnson, RN, NP

Individual provider Registered Nurse · NPI 1295197523

Kimberly Johnson, RN, NP is a Registered Nurse in Melville, New York. Practices as a sole proprietor and works from 2 locations. Licensed in North Carolina, New York and Pennsylvania.

Licensed in
NC, NY, PA
In the registry since
2016
Specialties on file
4
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

445 Broadhollow Rd Ste 25
Melville, NY 11747-3645
Phone: (631) 223-8852
Fax: (631) 350-0331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 333 Broadway, Amityville, NY 11701-2719 — (631) 789-2020

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 310859 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 321125 (NC)
Registered Nurse Taxonomy 163W00000X · Licence 655384 (PA)
Registered Nurse Taxonomy 163W00000X · Licence 661348 (NY)

Record details

NPI number1295197523
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , NP
Sole proprietorYes
NPI enumeratedMarch 25, 2016
Last updated in NPPESNovember 13, 2025
Certification dateNovember 13, 2025
Mailing address118 Suffolk Ave, Brentwood, NY 11717-4202

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