Keisha Lynnetta Johnson, MPH, CHES

Primary specialty

Health EducatorTaxonomy code 174H00000X

Practice address

14623 Sanour Dr
Houston, TX 77084-3048

Phone

(678) 675-5858

NPI assigned

Feb 21, 2022

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

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.

• Med-360

  • Non-emergency Medical Transport (VAN)
  • Atlanta, GA
  • NPI 1295212850
  NPD Authorized official

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1700531472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14623 SANOUR DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770843048",
            "telephone_number": "678-675-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14623 SANOUR DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770843048",
            "telephone_number": "678-675-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KEISHA",
        "middle_name": "LYNNETTA",
        "credential": "MPH, CHES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kassandra Johnson
• Katie Louise Johnson, LAT, ATC
• Kayla Johnson, RBT
• Kayla Johnson
• Keisha Holley Johnson, PHD
• Kelle D Johnson, MT
• Kendra Johnson, BSN, RN
• Kenia Johnson, M.A., LPC
• Kevin Johnson
• Kia D. Johnson

• Health Educator in Houston, TX
• Providers in Houston, TX by specialty
• Health Educator in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.