Kaliyah Shanice Johnson, NA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

10097321 Issued in SC

Practice address

124 Waterford Pointe Cir Unit 2206
Myrtle Beach, SC 29579-2708

Phone

(843) 360-0515

NPI assigned

Jun 11, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1749600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1073408910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 WATERFORD POINTE CIR UNIT 2206",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295792708",
            "telephone_number": "843-360-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 WATERFORD POINTE CIR UNIT 2206",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295792708",
            "telephone_number": "843-360-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KALIYAH",
        "middle_name": "SHANICE",
        "name_prefix": "Ms.",
        "credential": "NA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-11",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "SC",
            "license": "10097321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connor Johnson
• Ellie Marie Johnson, SLP
• Heather Hurley Johnson, REGISTERED NURSE
• Jabrellia C Johnson, LMT
• Jessica Louise Johnson, HIS
• Kelli Johnson
• Lindsay Marie Johnson, PA
• Michael Allan Johnson, DDS
• Nancy Lauren Johnson, FNP
• Sandy Michelle Johnson, M.S. LPC, NCC, CCTP

• Nurse's Aide in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Nurse's Aide in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.