Maya Andrea Johnson, MS, ATC, LAT, CPT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT6273 Issued in TX

Practice address

162 Tokoma Dr
Waxahachie, TX 75165-2447

Phone

(214) 907-4045

NPI assigned

Aug 16, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1548988454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 TOKOMA DR",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751652447",
            "telephone_number": "214-907-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 TOKOMA DR",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751652447",
            "telephone_number": "214-907-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MAYA",
        "middle_name": "ANDREA",
        "credential": "MS, ATC, LAT, CPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT6273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Baylor",
            "affiliation": "Y",
            "affiliationName": "Baylor Scott and White",
            "address_1": "2601 Thornton Lane",
            "address_2": "MS-A1-406",
            "city": "Temple",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765026457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chungmi Jo, DDS
• Sheena Lillian John, PA-C
• Vickie L Johns, LPC
• Juwanna Johnson
• Kaiyai Johnson
• Melanie Johnston, COTA
• Jon Ousley and Associates
• Benita Diane Jones, RN
• Jennifer Kaylin Jones, FNP
• Kristina Elizabeth Jones, APRN, FNP-BC

• Athletic Trainer in Waxahachie, TX
• Providers in Waxahachie, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.