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Willie Johnson, NURSING ASSISTANT
NPI 1063656569 · Nurse's Aide · Detroit, MI
Willie Johnson, NURSING ASSISTANT is a Nurse's Aide provider in Detroit, MI (NPI 1063656569).
Provider details
- NPI number
- 1063656569
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Credential
- NURSING ASSISTANT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 230002612990406 (MI)
Specialties & taxonomies
Nursing Service Related Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
15802 Lesure St
Detroit, MI 48227-3336
Phone: (877) 526-3186
Street-level locationGet directions
Mailing address
15802 Lesure St
Detroit, MI 48227-3336
Registry dates
- Enumerated
- 2009-04-28
- Last updated
- 2009-04-28
Frequently asked questions
- What is Willie Johnson's NPI number?
- Willie Johnson's National Provider Identifier (NPI) is 1063656569, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Willie Johnson's specialty?
- Willie Johnson is listed in the NPPES registry with a primary specialty of Nurse's Aide (Nursing Service Related Providers).
- Where is Willie Johnson located?
- Willie Johnson's practice location on file with NPPES is 15802 Lesure St, Detroit, MI 48227-3336.
- What is Willie Johnson's phone number?
- The practice phone number listed in the NPPES registry for Willie Johnson is (877) 526-3186.
- Is Willie Johnson's NPI active?
- Yes — Willie Johnson's NPI (1063656569) is active in the NPPES registry as of the last update on 2009-04-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.