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Shanae Johnson
NPI 1114435450 · Licensed Practical Nurse · Queens Village, NY
Shanae Johnson is a Licensed Practical Nurse provider in Queens Village, NY (NPI 1114435450).
Provider details
- NPI number
- 1114435450
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 330534 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
9358 208th St
Queens Village, NY 11428-1061
Phone: (718) 612-5402
Fax: (718) 612-5402
Street-level locationGet directions
Mailing address
9358 208th St
Queens Village, NY 11428-1061
Registry dates
- Enumerated
- 2018-01-22
- Last updated
- 2018-01-22
Frequently asked questions
- What is Shanae Johnson's NPI number?
- Shanae Johnson's National Provider Identifier (NPI) is 1114435450, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shanae Johnson's specialty?
- Shanae Johnson is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Shanae Johnson located?
- Shanae Johnson's practice location on file with NPPES is 9358 208th St, Queens Village, NY 11428-1061.
- What is Shanae Johnson's phone number?
- The practice phone number listed in the NPPES registry for Shanae Johnson is (718) 612-5402.
- Is Shanae Johnson's NPI active?
- Yes — Shanae Johnson's NPI (1114435450) is active in the NPPES registry as of the last update on 2018-01-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.