Active NPI
Laneisha Dewayna Johnson, LVN
- Doula
- San Bernardino, CA
National Provider Identifier
1124884606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 2999 Kendall Dr
San Bernardino, CA 92407-2415 - Phone
- (909) 347-8765
- NPI assigned
- Feb 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Doula | 374J00000X | CA | Primary |
Addresses
Primary practice location
2999 Kendall Dr
San Bernardino, CA 92407-2415
Mailing address
1676 Garland Way
Beaumont, CA 92223-3223
Phone (909) 749-5175
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 |
|---|---|---|---|
| Birthing Purpose Doula Services LLC | Single Specialty | Current | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708560000000",
"number": "1124884606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1676 GARLAND WAY",
"city": "BEAUMONT",
"state": "CA",
"postal_code": "922233223",
"telephone_number": "909-749-5175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2999 KENDALL DR",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924072415",
"telephone_number": "909-347-8765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "LANEISHA",
"middle_name": "DEWAYNA",
"credential": "LVN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-22",
"last_updated": "2024-02-22",
"certification_date": "2024-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Doula",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.