Laura L Johnston-Mack, NBC-HWC

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

11607 Country Club Dr
Anderson Island, WA 98303-8646

Phone

(425) 295-1091

NPI assigned

Aug 15, 2022

Last updated

Aug 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Leaf Wellness Coaching

  • Health & Wellness Coach
  • Anderson Island, WA
  • NPI 1932947355
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1114645306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11607 COUNTRY CLUB DR",
            "city": "ANDERSON ISLAND",
            "state": "WA",
            "postal_code": "983038646",
            "telephone_number": "425-295-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11607 COUNTRY CLUB DR",
            "city": "ANDERSON ISLAND",
            "state": "WA",
            "postal_code": "983038646",
            "telephone_number": "425-295-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON-MACK",
        "first_name": "LAURA",
        "middle_name": "L",
        "credential": "NBC-HWC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Gale Allison, L.M.P.
• Shanae Marie Bezusko, LICSW
• Timothy Bruhn, EMT
• Stanley Green, SLP
• Kobernik Osteopathy Inc. (Sunrise Osteopathy)
• Leaf Wellness Coaching
• Pierce County Fire Protection District #27 (Anderson Island Fire & Rescue)
• Larisa Reznik, LDD
• Sofia Sabeti

• Health & Wellness Coach in Anderson Island, WA
• Providers in Anderson Island, WA by specialty
• Health & Wellness Coach in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.