IndividualActive
Shawntalae Johnson, LPN
NPI 1104199272 · Licensed Practical Nurse · W Henrietta, NY
Shawntalae Johnson, LPN is a Licensed Practical Nurse provider in W Henrietta, NY (NPI 1104199272).
Provider details
- NPI number
- 1104199272
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 308498 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
26 Blazing Star Cir
W Henrietta, NY 14586-9335
Phone: (585) 719-6875
Street-level locationGet directions
Mailing address
26 Blazing Star Cir
W Henrietta, NY 14586-9335
Registry dates
- Enumerated
- 2012-02-20
- Last updated
- 2012-02-20
Frequently asked questions
- What is Shawntalae Johnson's NPI number?
- Shawntalae Johnson's National Provider Identifier (NPI) is 1104199272, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shawntalae Johnson's specialty?
- Shawntalae Johnson is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Shawntalae Johnson located?
- Shawntalae Johnson's practice location on file with NPPES is 26 Blazing Star Cir, W Henrietta, NY 14586-9335.
- What is Shawntalae Johnson's phone number?
- The practice phone number listed in the NPPES registry for Shawntalae Johnson is (585) 719-6875.
- Is Shawntalae Johnson's NPI active?
- Yes — Shawntalae Johnson's NPI (1104199272) is active in the NPPES registry as of the last update on 2012-02-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.