Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Miss Kerry Lynn Johnson, PA

Physician Assistant in Port Jefferson, NY · enumerated 2011.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1558665414

Verified

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Registry record

Entity type Individual (Type 1)

Name Miss Kerry Lynn Johnson

Credential PA

Sex Female

Practice address 635 Belle Terre Rd, Suite 204, Port Jefferson, NY, 11777

Phone (631) 474-0008

Fax (631) 474-0224

Enumeration date Jan 6, 2011

Last updated in NPPES Jul 16, 2019

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 014438 (NY) Primary

PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential

Other identifiers

Identifier	Type	State	Issuer
113422995	Other	NY	TAX ID #

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Kerry Johnson?

The National Provider Identifier (NPI) for Kerry Johnson is 1558665414, a Type 1 (individual) record in the CMS NPPES registry.

Where does Kerry Johnson practice?

The practice location on file with NPPES is in Port Jefferson, NY. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-07-16.