IndividualActive
Keri Johnson
NPI 1164229092 · General Practice Registered Nurse · Ruskin, FL
Provider details
- NPI number
- 1164229092
- Entity type
- Individual
- Primary specialty
- General Practice Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RN9417442 (FL)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
9813 Ivory Dr
Ruskin, FL 33573-6795
Phone: (636) 614-9581
Street-level locationGet directions
Mailing address
2300 Windy Ridge Pkwy Se
Atlanta, GA 30339
Registry dates
- Enumerated
- 2025-02-27
- Last updated
- 2025-02-27
- Certified
- 2025-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.