Kiara Lashae Johnson

Primary specialty

Respite CareTaxonomy code 385H00000X

Practice address

4560 Methodist Home Rd
Jackson, MS 39213-4201

Phone

(769) 257-7232

Fax

(769) 257-7745

NPI assigned

Jun 19, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Methodist Home Road Assisted Living

  • Mental Illness Community Based Residential Treatment Facility
  • Jackson, MS
  • NPI 1215341979
  NPD (past) Authorized official
• Methodist Home Road Living Center

  • Licensed Practical Nurse
  • Jackson, MS
  • NPI 1245663251
  NPD (past)

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403136000000",
    "number": "1134533896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 METHODIST HOME RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392134201",
            "telephone_number": "769-257-7232",
            "fax_number": "769-257-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 METHODIST HOME RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392134201",
            "telephone_number": "769-257-7232",
            "fax_number": "769-257-7745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KIARA",
        "middle_name": "LASHAE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-19",
        "last_updated": "2014-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Johnson, RBT
• Keaisha Aiyanna Dnae Johnson
• Kelly Jarvis Johnson, CPNP
• Kerry Cammilla Johnson, PSY.D., LPC, NCC
• Kiara D Johnson
• Kiara Williams Johnson, DPC, LPC, NCC, NCSC
• Kira Johnson, LCSW
• Kristy Chiro Johnson, RPT
• Kristy D Johnson
• Lashundre Johnson

• Respite Care in Jackson, MS
• Providers in Jackson, MS by specialty
• Respite Care in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; 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.