Deloris Johnson

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

44895 Issued in SC

Practice address

3180 Thomasina McPherson Blvd
North Charleston, SC 29405-8283

Phone

(843) 745-2184

Fax

(843) 745-2182

NPI assigned

Aug 29, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 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": "1630195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630195200000",
    "number": "1982371621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2246 SALLY GAILLARD LN",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294668869",
            "telephone_number": "254-415-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 THOMASINA MCPHERSON BLVD",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294058283",
            "telephone_number": "843-745-2184",
            "fax_number": "843-745-2182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DELORIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-29",
        "last_updated": "2021-08-29",
        "certification_date": "2021-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "44895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "deloris_johnson@charlesto.k12.sc.us",
            "affiliation": "N",
            "endpointDescription": "ccsd",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3180 Thomasina McPherson Blvd",
            "city": "North Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294058283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alexis Cheyenne Jewell, LPC
• Nicole Jimenez, BCABA
• Riley Jobes, M.A. CF-SLP
• David Charles Johannesmeyer, M.D.
• John Durant DMD LLC
• Jacques Roshana Johnson
• Jade Ariana Johnson, OTR/L, MSOT
• Latosha Johnson
• Lydia Johnson, ATC
• Markita M Johnson, RN

• Registered Nurse in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.