Active NPI
Lakisha Johnson
- Community Health Worker
- Charlotte, NC
National Provider Identifier
1124723077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 5432 Twin Brook Dr
Charlotte, NC 28269-2361 - Phone
- (980) 499-5044
- NPI assigned
- Mar 31, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
5432 Twin Brook Dr
Charlotte, NC 28269-2361
Mailing address
5432 Twin Brook Dr
Charlotte, NC 28269-2361
Phone (980) 499-5044
Other practice location 1
610 E 7th St Ste 105
Charlotte, NC 28202-2923
Phone (980) 499-5044
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loving Hands Health Services LLC | Current | Accepting new patients |
Locations
610 E 7th St
Ste 105
Charlotte, NC 28202
Phone (980) 499-5044
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Charlotte, NC
- NPI 1811682339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729814400000",
"number": "1124723077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5432 TWIN BROOK DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282692361",
"telephone_number": "980-499-5044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5432 TWIN BROOK DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282692361",
"telephone_number": "980-499-5044"
}
],
"practiceLocations": [
{
"address_1": "610 E 7th St Ste 105",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282022923",
"country_code": "US",
"telephone_number": "980-499-5044",
"fax_number": "336-967-6040",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "LAKISHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-31",
"last_updated": "2024-10-25",
"certification_date": "2024-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.