Haley Anne Johnson, STUDENT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

STUDENT Issued in NU

Practice address

11530 Windridge Dr
Pickerington, OH 43147-9143

Phone

(614) 800-2326

NPI assigned

Oct 11, 2018

Last updated

Oct 11, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1539216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539216000000",
    "number": "1467927863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11530 WINDRIDGE DR",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431479143",
            "telephone_number": "614-800-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11530 WINDRIDGE DR",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431479143",
            "telephone_number": "614-800-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "HALEY",
        "middle_name": "ANNE",
        "credential": "STUDENT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-11",
        "last_updated": "2018-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": "STUDENT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Michele Jettinghoff
• JLL Healthcare LLC (JLL Healthcare System, JLL Home Healthcare, JLL Hospice Care)
• JLL Healthcare LLC (JLL Healthcare System, JLL Home Healthcare, JLL Hospice Care)
• Andrea Lynn Johnson, M.D.
• Candace Johnson, LSW
• Nicholas Johnson, LSW
• Rashana Symone Johnson, LMT
• Rebecca Sue Johnson
• Toi C Johnson, MASSAGE THERAPIST
• Whitney Roshell Johnson, QBHS

• Athletic Trainer in Pickerington, OH
• Providers in Pickerington, OH by specialty
• Athletic Trainer in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.