CMS-1500 Box 24J / 33a • NPI
1073018545
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
246RP1900X
Licensed & Credentialed Technician, Pathology, Phlebotomy
Box 32 Service Location & ZIP+4
3809 W 6200 S, KEARNS, UT, 84081
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1073018545 (KENDRA JOHNSON) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1073018545 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | KENDRA JOHNSON |
| Plain-English Specialty | Licensed & Credentialed Technician, Pathology, Phlebotomy NUCC Code: 246RP1900X (Technician, Pathology, Phlebotomy) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 3809 W 6200 S, KEARNS, UT, 84081 |
| Practice Telephone / Fax | Tel: (801) 963-4209 |
| Administrative Mailing Address | 4460 S HIGHLAND DR, SALT LAKE CITY, UT, 84124-3543 |
| Enumeration & Last Sync | Enumerated: 2018-03-27 | CMS Record Updated: 2018-03-27 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (246RP1900X)
What Does Taxonomy Code 246RP1900X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 246RP1900X translates to:
"Licensed & Credentialed Technician, Pathology, Phlebotomy"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (KENDRA JOHNSON)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
246RP1900X — Technician, Pathology, PhlebotomyPlain English: Licensed & Credentialed Technician, Pathology, Phlebotomy | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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