Chellsie D Johnson, M.ED, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

072 Issued in WY

Practice address

3500 E 12TH St
Casper, WY 82609-3125

Phone

(307) 253-2028

NPI assigned

Sep 24, 2014

Sex

Female

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

Credentials

Master of Education

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411516800000",
    "number": "1851793608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3454 CHAPARRAL",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826045432",
            "telephone_number": "970-381-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 E 12TH ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826093125",
            "telephone_number": "307-253-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHELLSIE",
        "middle_name": "D",
        "credential": "M.ED, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-24",
        "last_updated": "2014-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WY",
            "license": "072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John L. Roussalis M.D., P.C.
• Alexia Lein Johnson, RRT
• Beth Johnson, CCMA
• Callie J Johnson, PT, DPT
• Carol Ann Johnson
• Elyse Johnson, SLP
• Jaclyn Kristin Johnson, LPN
• Jennifer Johnson
• Jungsook Sue Johnson, MD
• Keli J. Johnson

• Athletic Trainer in Casper, WY
• Providers in Casper, WY by specialty
• Athletic Trainer in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.