Jake Johnson

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

812 University St
Pella, IA 50219-1902

Phone

(877) 462-3687

NPI assigned

Aug 6, 2018

Sex

Male

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

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1144708652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 UNIVERSITY ST",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191999",
            "telephone_number": "877-462-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 UNIVERSITY ST",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191902",
            "telephone_number": "877-462-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JAKE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-06",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Maureen Jansen, MSW, LISW
• Jeffrey F. Allen, D.D.S., P.C.
• Cheyanna Jennings
• Kayla Marie Jiskoot, M.A. CCC-SLP
• Andrew Joseph Johnson, CRNA
• Kevin Robert Jones, O.D.
• Michelle Dawn Jones, O.D.
• Jill Jordahl-Ball, PSYD
• Mindi Jo Jorgenson, PHARMD
• K D Enterprises Co Inc

• Student in an Organized Health Care Education/Training Program in Pella, IA
• Providers in Pella, IA by specialty
• Student in an Organized Health Care Education/Training Program in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; 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.