Individual provider Active NPI

Lashonda Janea Johnson

  • Home Health Aide
  • Benton Harbor, MI
National Provider Identifier
1104317072
Registry record updated May 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
167 Chestnut St
Benton Harbor, MI 49022-3019
Phone
(269) 363-5382
NPI assigned
May 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X Primary

Addresses

Primary practice location

167 Chestnut St
Benton Harbor, MI 49022-3019

Mailing address

167 Chestnut St
Benton Harbor, MI 49022-3019
Phone (269) 363-5382

Other practice location 1

167 Chestnut St
Benton Harbor, MI 49022-3019
Phone (269) 363-5382

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527206400000",
    "number": "1104317072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 CHESTNUT ST",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490223019",
            "telephone_number": "269-363-5382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 CHESTNUT ST",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490223019",
            "telephone_number": "269-363-5382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "167 Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Benton Harbor",
            "state": "MI",
            "postal_code": "490223019",
            "country_code": "US",
            "telephone_number": "269-363-5382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LASHONDA",
        "middle_name": "JANEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-25",
        "last_updated": "2018-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton Harbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; 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.