Individual provider Active NPI

Keyaira Johnson

  • Family Nurse Practitioner
  • Oakland, MS
National Provider Identifier
1124961859
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
908319 Issued in MS
Practice address
1729 Adams Rd
Oakland, MS 38948-2441
Phone
(662) 326-0554
NPI assigned
Apr 9, 2026
Last updated
Jul 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 908319 MS Primary

Addresses

Primary practice location

1729 Adams Rd
Oakland, MS 38948-2441

Mailing address

1729 Adams Rd
Oakland, MS 38948-2441

Other practice location 1

456 Highway 6 E
Batesville, MS 38606-3000
Phone (662) 547-8159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
908319MSMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1775692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1124961859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 ADAMS RD",
            "city": "OAKLAND",
            "state": "MS",
            "postal_code": "389482441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 ADAMS RD",
            "city": "OAKLAND",
            "state": "MS",
            "postal_code": "389482441",
            "telephone_number": "662-326-0554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "456 Highway 6 E",
            "address_purpose": "LOCATION",
            "city": "Batesville",
            "state": "MS",
            "postal_code": "386063000",
            "country_code": "US",
            "telephone_number": "662-547-8159",
            "fax_number": "662-267-5445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KEYAIRA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-09",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "908319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, MS

Sources for this page

Verify at the official NPI Registry.