Summer Johnston, BS

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

120 S Hawthorne Rd
Pocatello, ID 83202-8320

Phone

(208) 221-7899

NPI assigned

Mar 27, 2023

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

Credentials

Bachelor of Science

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1629771753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S HAWTHORNE RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "83202",
            "telephone_number": "208-221-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S HAWTHORNE RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832028320",
            "telephone_number": "208-221-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "SUMMER",
        "credential": "BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Johnson
• Parker Johnson, PT
• Shad Carl Johnson, PA-C
• Barry Johnston
• Lisa Gay Johnston
• Taylor Jolley, DO
• Jennifer Ann Jones-Elizarraras
• Ashley Lynne Jones, COTA/L
• Gunda Jones, CCC-SLP
• Jacob Erling Jones, SLP

• Behavior Technician in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Behavior Technician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.