Active NPI
Christoher Johnston, PHD
- Athletic Trainer
- Jamestown, NC
National Provider Identifier
1659981967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- LAT-4465
- Practice address
- 3125 Southampton Dr
Jamestown, NC 27282-8696 - Phone
- (304) 680-3201
- NPI assigned
- Aug 3, 2020
- Last updated
- Aug 3, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | LAT-4465 | NC | Primary |
Addresses
Primary practice location
3125 Southampton Dr
Jamestown, NC 27282-8696
Mailing address
3125 Southampton Dr
Jamestown, NC 27282-8696
Phone (304) 680-3201
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LAT-4465 | NC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596412800000",
"number": "1659981967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3125 SOUTHAMPTON DR",
"city": "JAMESTOWN",
"state": "NC",
"postal_code": "272828696",
"telephone_number": "304-680-3201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3125 SOUTHAMPTON DR",
"city": "JAMESTOWN",
"state": "NC",
"postal_code": "272828696",
"telephone_number": "304-680-3201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "CHRISTOHER",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-03",
"last_updated": "2020-08-03",
"certification_date": "2020-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "LAT-4465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamestown, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.