Shira Kahliah Johnson

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

24017457 Issued in IN

Practice address

7823 Preston Pointe Dr
Fort Wayne, IN 46804-5705

Phone

(260) 205-4408

NPI assigned

Jun 24, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• White Cloud Home Care Services

  • Personal Care Attendant
  • Fort Wayne, IN
  • NPI 1750102752

  Adult Companion

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1043054091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7823 PRESTON POINTE DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468045705",
            "telephone_number": "260-205-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7823 PRESTON POINTE DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468045705",
            "telephone_number": "260-205-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHIRA",
        "middle_name": "KAHLIAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "IN",
            "license": "240174571",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "IN",
            "license": "240174571",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "IN",
            "license": "240174571",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "IN",
            "license": "240174571",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "IN",
            "license": "24017457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renu Johnson
• Rochelle Loraine Johnson, N.P.
• Sara B Johnson, SLP
• Sarah Johnson
• Shawn Mark Johnson, MD
• Stacy L Johnson, NP
• Stephanie Johnson, LPN
• Tori Johnson
• Tracy Lynn Johnson, NP
• Tyler Guthrie Johnson, DO

• Personal Care Attendant in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Personal Care Attendant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.