MS. SHAKEYA NICHOLE JOHNSON FNP-C NPI 1629890157

NPI Information

  • NPI: 1629890157
  • Provider Name: MS. SHAKEYA NICHOLE JOHNSON, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1 RICHLAND MEDICAL PARK DR STE 420
    COLUMBIA, SC
    ZIP 29203
  • Phone: (803) 434-6430

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NPI Details

MS. Shakeya Nichole Johnson, FNP-C is a family nurse practitioner in Columbia, SC with 4 years of experience. MS. Shakeya Nichole Johnson, FNP-C NPI is 1629890157. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 RICHLAND MEDICAL PARK DR STE 420
COLUMBIA, SC
ZIP 29203-833
Phone: (803) 434-6430
Fax: (803) 545-5353

The NPI 1629890157 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/28/2024 and was last updated on 12/6/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily28085SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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