MEDICARE: KYLIE JOHNSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172V00000X	Community Health Worker		NM

General Provider Information

NPI Number	:	1851249932
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KYLIE JOHNSON

Provider Business Mailing Address
First Line	:	1439 ZEPOL RD APT 310
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87507-7140
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1439 ZEPOL RD APT 310
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87507-7140
Country	:	US
Telephone Number	:	505-361-7045
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2026
Last Update Date	:	03/17/2026

Similar Medicare Providers

1316609621 — DARLENE'S HOME CARE INC
Practice Location Address:

425 N SANTA ANITA AVE STE A
ARCADIA, CA
91006-7140

Practice Phone: 626-778-1441
Practice Fax:

1932539020 — CHRISTY BROWN LCSW
Practice Location Address:

4714 VIENTO DEL NORTE
SANTA FE, NM
87507-0866

Practice Phone: 505-692-0503
Practice Fax:

1114137684 — DR. ERNESTO SANTISTEVAN PH.D.
Practice Location Address:

4001 OFFICE COURT DR STE 1008
SANTA FE, NM
87507-4929

Practice Phone: 505-577-2607
Practice Fax: 505-982-1096

1912855610 — ASHLEY RUIZ
Practice Location Address:

1201 PARKWAY DR
SANTA FE, NM
87507-7258

Practice Phone: 575-288-1881
Practice Fax: 575-288-1889

1427906924 — EARNEST THERAPY LLC
Practice Location Address:

3110 SIRINGO RONDO S
SANTA FE, NM
87507-5020

Practice Phone: 575-914-0334
Practice Fax:

1154976850 — MR. LANCE LEE MATTHEWSON LMSW
Practice Location Address:

1557 LA CIENEGUITA
SANTA FE, NM
87507-5658

Practice Phone: 505-819-8210
Practice Fax:

Directions to “ KYLIE JOHNSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.