Kymbrena Dinetia Johnson

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

693 E 131St St
Cleveland, OH 44108-2034

Phone

(419) 295-2929

NPI assigned

Apr 18, 2022

Last updated

Apr 30, 2022By the provider in NPPES

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

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651276800000",
    "number": "1285377275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35514",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441350514",
            "telephone_number": "419-295-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "693 E 131ST ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441082034",
            "telephone_number": "419-295-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KYMBRENA",
        "middle_name": "DINETIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-18",
        "last_updated": "2022-04-30",
        "certification_date": "2022-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathie Johnson
• Kiara Johnson
• Kiyla Johnson
• Krista Lynn Johnson, RN, MSN, CPNP
• Kristin R Johnson, CNP
• La'Shunae Johnson
• Latasha Nichole Johnson, QBHS
• Latonya Johnson, LPN
• Lauren Johnson
• Lescenia Johnson

• In Home Supportive Care Agency in Cleveland, OH
• Providers in Cleveland, OH by specialty
• In Home Supportive Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2022; 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.