Dahlia Johnson

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

162 Squire Reach
Suffolk, VA 23434-9198

Phone

(757) 404-7540

NPI assigned

May 18, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1518531003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 SQUIRE REACH",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234349198",
            "telephone_number": "757-404-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 SQUIRE REACH",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234349198",
            "telephone_number": "757-404-7540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DAHLIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "00000000",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abbey Elaine Johnson
• Alexis Johnson, NCC,LPC
• Andrea Johnson
• Beverly Ann Johnson, MD
• Cornelius Johnson Jr., BS, RBT, QMHP-T
• Krystal Geneva Johnson, M.ED., ATC
• Lisa Rose Johnson, ED.D.
• Marcus Tyrone Johnson
• Rachquel A Johnson, LCSW
• Telycia Marie Johnson, DO

• Athletic Trainer in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Athletic Trainer in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.