Lucy Johnson, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

A1 60404724 Issued in WA

Practice address

11808 SE 172ND LN Apt N303
Renton, WA 98058

Phone

(541) 863-8001

NPI assigned

Apr 20, 2016

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

State licenses

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1508210154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 W 5TH ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983632113",
            "telephone_number": "541-863-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11808 SE 172ND LN APT N303",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "98058",
            "telephone_number": "541-863-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LUCY",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-20",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WA",
            "license": "A1 60404724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Leilani Johnson, APRN
• Jalene L Johnson, LMP
• Joel M Johnson, PT
• Kayla Johnson
• Kimberly Johnson, MA
• Patricia D Johnson, MA
• Peder Johnson, MD
• Sarah Ellen Johnson
• Sarah Kjersten Johnson, R.D.
• William E Johnson

• Athletic Trainer in Renton, WA
• Providers in Renton, WA by specialty
• Athletic Trainer in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.