Amanda Danielle Johnson, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00023919 Issued in WA

Practice address

10317 NE 189TH St Apt 65
Bothell, WA 98011-3869

Phone

(425) 214-2260

NPI assigned

Mar 27, 2008

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

Other identifiers 1

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": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357084800000",
    "number": "1841462074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10317 NE 189TH ST APT 65",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113869",
            "telephone_number": "425-214-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10317 NE 189TH ST APT 65",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113869",
            "telephone_number": "425-214-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AMANDA",
        "middle_name": "DANIELLE",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-27",
        "last_updated": "2013-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00023919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7084650",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Hinrichs PLLC
• John R Streidl, MD, PLLC
• John T. Kim DDS PS
• Kathy Johnsey, RN
• Alida Johnson, MA, LMHC
• Anne Johnson, DC
• Brittony Johnson, LMP
• Bruce Alan Johnson, DDS
• Bryan Johnson
• David Lynn Johnson, RPH

• Massage Therapist in Bothell, WA
• Providers in Bothell, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; 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.