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Kima Lashawn Johnson

Driver β€’ Canton, OH

Active NPI 1053002949 Individual Practitioner Female Practitioner
Practice location in NPPES

2703 38th St Nw Apt H
Canton, OH 447092051

Call 3303093509 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2703 38th St Nw Apt H

Canton, OH 447092051

Telephone 3303093509
Organization at the Same NPPES Address or Phone
D & K Abundant Life Llc Facility NPI 1649024795

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Canton, OH. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Canton and Ohio

21 active clinicians are listed under Driver with a practice address in Canton, OH (1,266 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Canton

0% of these 21 clinicians have the CMS telehealth indicator.

0% of these 21 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-09-18
Respite Care Primary Specialty

NUCC Taxonomy Code: 385H00000X

License # reported to NPPES OH RN010005
Driver

NUCC Taxonomy Code: 172A00000X

License # reported to NPPES OH RN01005

A person employed to operate a motor vehicle as a carrier of persons or property.

Home Delivered Meals

NUCC Taxonomy Code: 332U00000X

License # reported to NPPES OH RN010005

Home-delivered meals are those services or activities designed to prepare and deliver one or more meals a day to an individual's residence in order to prevent institutionalization, malnutrition, and feelings of isolation. Component services or activities may include the cost of personnel, equipment, and food; assessment of nutritional and dietary needs; nutritional education and counseling; socialization services; and information and referral.

Non-emergency Medical Transport (VAN)

NUCC Taxonomy Code: 343900000X

License # reported to NPPES OH RN010005

A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

Private Vehicle

NUCC Taxonomy Code: 347C00000X

License # reported to NPPES OH RN010005

An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

Homemaker

NUCC Taxonomy Code: 376J00000X

License # reported to NPPES OH RN010005

An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.

Respite Care - Respite Care Camp

NUCC Taxonomy Code: 385HR2050X

License # reported to NPPES OH RN01005

A camping facility that provides specialized respite care to individuals requiring enhanced services to enable them to remain in the community, (e.g., those with developmental delays, intellectual disabilities, mental/behavioral disorders). The staff must have training in working with the target populations and dealing with emergency situations which might be related to or exacerbate the individual's condition.

Respite Care - Respite Care, Mental Illness, Child

NUCC Taxonomy Code: 385HR2055X

License # reported to NPPES OH RN010005

A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.

Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, Child

NUCC Taxonomy Code: 385HR2060X

License # reported to NPPES OH RN010005

A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.

Respite Care - Respite Care, Physical Disabilities, Child

NUCC Taxonomy Code: 385HR2065X

License # reported to NPPES OH RN010005

A facility or distinct part of a facility that providers short term, residential care to children, diagnosed with complex or profound disabilities as respite for the regular caregivers.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Secondary Practice Locations

1921 Royal Ave Ne

Canton, OH 447052247

Phone: 3303093509

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location September 18, 2023

Registered at 2703 38TH ST NW APT H, CANTON, OH 447092051 (Tel: 3303093509)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2023

Driver (license number reported to NPPES: OH RN01005)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2023

Supports Brokerage (license number reported to NPPES: OH RN010005)

βœ…
NPI Profile Active May 19, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 19, 2023

Registered at 1921 ROYAL AVE NE, CANTON, OH 447052247 (Tel: 3303093509)

πŸ“
Business Mailing Address (Initial Record) May 19, 2023

Registered at 1921 ROYAL AVE NE, CANTON, OH 447052247 (Tel: 3303093509)

πŸ‘€
Provider Name / Credentials (Initial Record) May 19, 2023

Recorded as KIMA JOHNSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2023

Non-emergency Medical Transport (VAN) (license number reported to NPPES: OH RNO10005)

🟒
Initial NPI Registration & Enumeration May 19, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1053002949
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 19, 2023
Last Update: September 18, 2023
Sole Proprietor: Yes

Mailing Address

1921 Royal Ave Ne

Canton, OH 447052247

Phone: 3303093509

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.