Doretta Johnson, CNA

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

115 Oakland Ave Ste 101C
Rock Hill, SC 29730-4033

Phone

(803) 327-2273

Fax

(803) 327-2275

NPI assigned

Jan 12, 2016

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452556800000",
    "number": "1700242369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 OAKLAWN AVE APT C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282063157",
            "telephone_number": "803-327-2273",
            "fax_number": "803-327-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 OAKLAND AVE STE 101C",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297304033",
            "telephone_number": "803-327-2273",
            "fax_number": "803-327-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DORETTA",
        "credential": "CNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Johnson
• Atavious A Johnson
• Brandon Johnson
• Britanica N. Johnson, M.ED., LPC, LCMHC-A,
• Charita Monica Johnson, APRN
• Emily Louise Johnson, MSW
• Eric Gordon Johnson, MD
• Erica Johnson, RN
• Heather Johnson, D.D.S.
• Jack Frank Johnson III, APRN

• Home Health Aide in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Home Health Aide in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.