Active NPI
Micah Johnson
- Athletic Trainer
- Topawa, AZ
National Provider Identifier
1942690219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1230
- Practice address
- Indian Route 19
Mile Post 19.5
Topawa, AZ 85639 - Phone
- (520) 383-6800
- NPI assigned
- Jan 26, 2015
- Last updated
- Jan 26, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 1230 | AZ | Primary |
Addresses
Primary practice location
Indian Route 19
Mile Post 19.5
Topawa, AZ 85639
Mailing address
PO Box 2332
Sells, AZ 85634-2332
Phone (520) 383-6800
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1230 | AZ | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422230400000",
"number": "1942690219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2332",
"city": "SELLS",
"state": "AZ",
"postal_code": "856342332",
"telephone_number": "520-383-6800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "INDIAN ROUTE 19",
"address_2": "MILE POST 19.5",
"city": "TOPAWA",
"state": "AZ",
"postal_code": "85639",
"telephone_number": "520-383-6800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "MICAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-26",
"last_updated": "2015-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AZ",
"license": "1230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Topawa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.