Laura M Johnson

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

66713 Issued in SC

Practice address

721 N Okatie Hwy
Ridgeland, SC 29936-8276

Phone

(843) 987-7400

Fax

(843) 987-0197

NPI assigned

Aug 4, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922016633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 N OKATIE HWY",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299368276",
            "telephone_number": "843-987-7400",
            "fax_number": "843-987-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 N OKATIE HWY",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299368276",
            "telephone_number": "843-987-7400",
            "fax_number": "843-987-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LAURA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "SC",
            "license": "66713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "66713",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jared Edward Jodon
• Jessica Virginia Johnson, LPC
• Samantha Johnson
• Benita Kim Jones, MS
• Courtney Kaye, PHARM.D
• Waachovia Ondra Keller
• Kalen Kelly, LISW-CP

• Home Health Registered Nurse in Ridgeland, SC
• Providers in Ridgeland, SC by specialty
• Home Health Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.