NPI Code Details Logo

NPI 1285524330

NPI 1285524330 : LASHELE JOHNSON : KILLEEN, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1285524330
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    LASHELE JOHNSON
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/08/2025
-----------------------------------------------------
    Last Update Date     |    09/08/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    9004 ASHLYN DR 
-----------------------------------------------------
    City                 |    KILLEEN
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    76542-5954
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    254-499-6269
-----------------------------------------------------
    Fax                  |    254-213-0054
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 10181 
-----------------------------------------------------
    City                 |    KILLEEN
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    76547-0181
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    254-499-6269
-----------------------------------------------------
    Fax                  |    254-213-0054
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    253J00000X
-----------------------------------------------------
    Taxonomy Name        |    Foster Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    253Z00000X
-----------------------------------------------------
    Taxonomy Name        |    In Home Supportive Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    251X00000X
-----------------------------------------------------
    Taxonomy Name        |    Supports Brokerage Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    374U00000X
-----------------------------------------------------
    Taxonomy Name        |    Home Health Aide
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    3747P1801X
-----------------------------------------------------
    Taxonomy Name        |    Personal Care Attendant
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
    Taxonomy Code        |    282E00000X
-----------------------------------------------------
    Taxonomy Name        |    Long Term Care Hospital
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #7
-----------------------------------------------------
    Taxonomy Code        |    3747A0650X
-----------------------------------------------------
    Taxonomy Name        |    Attendant Care Provider
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.