KAYLA MCCROSKEY JOHNSON NPI 1104442250

NPI Information

NPI: 1104442250
Provider Name: KAYLA MCCROSKEY JOHNSON
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1934 LEATHERWOOD LN
BLUEFIELD, VA
ZIP 24605
Phone: (762) 596-6735
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Kayla Mccroskey Johnson is a family nurse practitioner in Bluefield, VA with 5 years of experience. Kayla Mccroskey Johnson NPI is 1104442250. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1934 LEATHERWOOD LN
BLUEFIELD, VA
ZIP 24605-019
Phone: (762) 596-6735

The NPI 1104442250 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/24/2020 and was last updated on 1/26/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	105609	WEST VIRGINIA	No
2	363LF0000X	Nurse Practitioner	Family	0024179198	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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