Active NPI
Christopher Scott Johnson, A.T.C.
- Athletic Trainer
- Mississippi State, MS
National Provider Identifier
1134339898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT 0310
- Practice address
- Humphrey Coliseum-Coliseum Drive
Mississippi State University
Mississippi State, MS 39762 - Phone
- (662) 325-4108
- NPI assigned
- May 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT 0310 | MS | Primary |
Addresses
Primary practice location
Humphrey Coliseum-Coliseum Drive
Mississippi State University
Mississippi State, MS 39762
Mailing address
1238C Blackjack Rd
Starkville, MS 39759-9475
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT 0310 | MS | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1134339898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1238C BLACKJACK RD",
"city": "STARKVILLE",
"state": "MS",
"postal_code": "397599475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HUMPHREY COLISEUM-COLISEUM DRIVE",
"address_2": "MISSISSIPPI STATE UNIVERSITY",
"city": "MISSISSIPPI STATE",
"state": "MS",
"postal_code": "39762",
"telephone_number": "662-325-4108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "CHRISTOPHER",
"middle_name": "SCOTT",
"credential": "A.T.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MS",
"license": "AT 0310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mississippi State, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.