Shenkia Isadora Johnson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

071409 Issued in GA

Practice address

10 1St Ave NE
Cairo, GA 39828-2101

Phone

(229) 379-2906

NPI assigned

Sep 1, 2015

Last updated

Mar 7, 2021By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Young at Heart Healthcare Services, LLC

  • Home Health Agency
  • Cairo, GA
  • NPI 1477111565
  NPD Authorized official
• Sacred Living Behavioral Health and Wellness, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cairo, GA
  • NPI 1487338430
  NPD

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615075200000",
    "number": "1629445036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1232",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398280996",
            "telephone_number": "229-379-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 1ST AVE NE",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398282101",
            "telephone_number": "229-379-2906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "196 S MacArthur Drive",
            "address_purpose": "LOCATION",
            "city": "Camilla",
            "state": "GA",
            "postal_code": "317363454",
            "country_code": "US",
            "telephone_number": "229-336-2247",
            "fax_number": "229-336-8009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "379 Jowers Rd",
            "address_purpose": "LOCATION",
            "city": "Whigham",
            "state": "GA",
            "postal_code": "39897",
            "country_code": "US",
            "telephone_number": "800-913-7062",
            "fax_number": "800-913-7062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHENKIA",
        "middle_name": "ISADORA",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-01",
        "last_updated": "2021-03-07",
        "certification_date": "2021-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPN071409",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "071409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John D. Archbold Memorial Hospital, Inc. (Grady County Dialysis Facility)
• Chandra A Johnson, LCSW
• Guy Johnson III, D.C.
• Kimberely Dawn Johnson, APRN, FNP-C
• Luisa Johnson, APRN
• Katherine T Kelley, CRNA
• Jennifer Kendrick, D.M.D.
• Kenneth Harrison Medical LLC
• Rachel S King, CCC-SLP
• April H Lee, PT

• Licensed Practical Nurse in Cairo, GA
• Providers in Cairo, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2021; 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.