Lakisha L Johnson

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

3940 Scott Robinson Blvd
North Las Vegas, NV 89032-7859

Phone

(725) 977-8133

NPI assigned

Nov 7, 2016

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.

• Stimulating Minds Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • North Las Vegas, NV
  • NPI 1235814294
  NPD Authorized official

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1508308636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 SCOTT ROBINSON BLVD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890327859",
            "telephone_number": "725-977-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 SCOTT ROBINSON BLVD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890327859",
            "telephone_number": "725-977-8133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LAKISHA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-07",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Johnson
• Katrina Johnson
• Kayla Shi'Ar Johnson
• Kelsey Johnson
• Klaiton Markell Johnson
• Lamont Johnson
• Laquinte Johnson
• Larry Johnson
• Latachia Johnson
• Latosha D Johnson

• Community Health Worker in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Community Health Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.