Shemika Johnson

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

0017087 Issued in WI

Practice address

4337 N 13TH St
Milwaukee, WI 53209-6938

Phone

(414) 839-8971

NPI assigned

Nov 6, 2018

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

Other names 1

• Shemika Johnson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1134697386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4337 N 13TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532096938",
            "telephone_number": "414-839-8971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4337 N 13TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532096938",
            "telephone_number": "414-839-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHEMIKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-06",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WI",
            "license": "0017087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310400000X",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEMIKA",
            "last_name": "JOHNSON",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Selena B Johnson
• Shanna Marie Johnson, FNP-BC
• Shannon Emmanuel Johnson, PSYCHOTHERAPIST
• Sharicus R Johnson, RN
• She-Ra Latoya Johnson
• Sheri L. Johnson, PH.D.
• Sherry Johnson
• Shiequane Johnson
• Simona Johnson, RN
• Taylor Johnson

• Assisted Living Facility in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Assisted Living Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.