KEISHA RENARDA JOHNSON-ROSEBORO
NPI 1104562198
Nurse Practitioner - Family in West Columbia, SC

Active since May 11, 2022
1053 CENTER ST, WEST COLUMBIA, SC 29169(800) 491-0909 Get Directions Write a Review

NPPES record last updated: May 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keisha Renarda Johnson-roseboro NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEISHA RENARDA JOHNSON-ROSEBORO (NPI 1104562198) is an individual family provider in West Columbia, South Carolina, licensed in South Carolina (26079) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1104562198
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKEISHA RENARDA JOHNSON-ROSEBORO
Location Address1053 CENTER STWest Columbia, SC 29169-6749
Mailing Address1053 Center StWest Columbia, SC 29169-6749 · (800) 491-0909
Sole ProprietorYes
Enumeration DateMay 11, 2022
NPPES CertifiedMay 11, 2022
NPI 1104562198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in SC · 26079
1053 CENTER ST, West Columbia, SC 29169

Other Names 1

Professional Name (2)Keisha Renarda Johnson-roseboro Fnp

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
1053 CENTER ST
WEST COLUMBIA, SC 29169
Home Health
1053 CENTER ST
WEST COLUMBIA, SC 29169
Pharmacist
1053 CENTER ST
WEST COLUMBIA, SC 29169
Social Worker (Clinical)
1053 CENTER ST
WEST COLUMBIA, SC 29169
Home Health
1053 CENTER ST
WEST COLUMBIA, SC 29169
Nurse Practitioner (Family)
1053 CENTER ST
WEST COLUMBIA, SC 29169
Family Medicine
1053 CENTER ST
WEST COLUMBIA, SC 29169
Nurse Practitioner (Family)
1053 CENTER ST
WEST COLUMBIA, SC 29169

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keisha Johnson-roseboro's NPI number?

The NPI number for Keisha Johnson-roseboro is 1104562198. It was assigned to this individual provider in the NPPES registry on May 11, 2022. The provider is also known as Keisha Renarda Johnson-Roseboro Fnp.

Where is Keisha Johnson-roseboro located?

Keisha Johnson-roseboro practices at 1053 Center St, West Columbia, SC 29169. The listed phone number is (800) 491-0909.

What is Keisha Johnson-roseboro's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Keisha Johnson-roseboro was last updated on May 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.