Neisha Johnson, NURSE, HEALTH CARE P

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

11132 E 84TH Ter
Raytown, MO 64138-3646

Phone

(816) 602-7886

NPI assigned

Jun 30, 2022

Last updated

Jun 30, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1104558899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11132 E 84TH TER",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641383646",
            "telephone_number": "816-602-7886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11132 E 84TH TER",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641383646",
            "telephone_number": "816-602-7886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11132 E 84th Ter",
            "address_purpose": "LOCATION",
            "city": "Raytown",
            "state": "MO",
            "postal_code": "641383646",
            "country_code": "US",
            "telephone_number": "816-609-2847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "NEISHA",
        "credential": "NURSE, HEALTH CARE P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P203240023",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey L. Nixon L.L.C.
• Jessica Lane Re, LLC (The Recovery Village Kansas City)
• Callie Rae Johnson
• Dorothy V Johnson, RNC,MSN,ANP
• Laura E Johnson
• Rachel Marie Johnson, MSN
• Jaimee Renee Jones, PTA
• Kaci Lillie Jones, LCSW, LICSW
• Betty Jordan
• Jill Josepher

• Attendant Care Provider in Raytown, MO
• Providers in Raytown, MO by specialty
• Attendant Care Provider in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.