Matthew David Johnson

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

IR 60185957 Issued in WA

Practice address

412 E Spokane Falls Blvd
Spokane, WA 99202-2131

Phone

(509) 358-7500

NPI assigned

Oct 23, 2012

Last updated

Oct 23, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350950400000",
    "number": "1760735039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2418 E 3RD AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992024011",
            "telephone_number": "509-540-5402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 E SPOKANE FALLS BLVD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992022131",
            "telephone_number": "509-358-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MATTHEW",
        "middle_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-23",
        "last_updated": "2012-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": "IR 60185957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynda Joyce Johnson, RPH
• Madelynn Johnson, PA-C
• Mariah Johnson
• Mark A Johnson, MD
• Marla Christine Johnson, CP 60640148
• Matthew Kaleb Johnson, CRNA
• Megan M Johnson, CBT
• Melissa A Johnson, D.D.S.
• Melissa Ann Johnson, RN
• Melissa Lynn Johnson

• Student in an Organized Health Care Education/Training Program in Spokane, WA
• Providers in Spokane, WA by specialty
• Student in an Organized Health Care Education/Training Program in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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.