KEVIN W JOHNSTON NP NPI 1194122267

NPI Information

NPI: 1194122267
Provider Name: KEVIN W JOHNSTON, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
33 TIMBERCREST LN
SOUTH SETAUKET, NY
ZIP 11720
Phone: (631) 922-5900
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Kevin W Johnston, NP is an adult health nurse practitioner in South Setauket, NY. Kevin W Johnston, NP NPI is 1194122267. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

33 TIMBERCREST LN
SOUTH SETAUKET, NY
ZIP 11720-243
Phone: (631) 922-5900
Fax: (631) 675-9002

The enumeration date for this NPI number is 12/4/2014 and was last updated on 12/3/2019.

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	163W00000X	Registered Nurse		689209	NEW YORK	No
2	363LA2200X	Nurse Practitioner	Adult Health	F309196	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	F309196	OTHER	NEW YORK	NY STATE OFFICE OF PROFESSIONS

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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