Ryan Johnson, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

255A2300X Issued in MI

Practice address

4336 Dell Rd Apt K
Lansing, MI 48911-8136

Phone

(434) 944-2918

NPI assigned

Jan 12, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: ryan.johnson.2@28977.direct.athenahealth.com

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1609265818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4336 DELL RD APT K",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489118136",
            "telephone_number": "434-944-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4336 DELL RD APT K",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489118136",
            "telephone_number": "434-944-2918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RYAN",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-12",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "255A2300X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LARA",
            "identifier": "2601001153",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Harold Johnson, D.C.
• Latasha Johnson
• Leslie Leanne Johnson
• Matthew Lee Johnson, DO
• Michelle Johnson
• Sandra Jean Johnson, MSW
• Shareef Johnson
• William Joseph Johnson
• Brooke Johnston, DO
• Mark M Johnston, D.D.S.

• Athletic Trainer in Lansing, MI
• Providers in Lansing, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.