Active NPI
Kashairra McKnight Johnson
- Home Health Aide
- Saint Louis, MO
National Provider Identifier
1730651027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 1109 Oran Dr
Saint Louis, MO 63137-1135 - Phone
- (314) 255-4500
- NPI assigned
- Dec 26, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
1109 Oran Dr
Saint Louis, MO 63137-1135
Mailing address
1109 Oran Dr
Saint Louis, MO 63137-1135
Phone (314) 255-4500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | COMPANIONSHIP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545782400000",
"number": "1730651027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1109 ORAN DR",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631371135",
"telephone_number": "314-255-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1109 ORAN DR",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631371135",
"telephone_number": "314-255-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKNIGHT JOHNSON",
"first_name": "KASHAIRRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-26",
"last_updated": "2018-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPANIONSHIP",
"identifier": "NA",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.