Stormie Johanson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-1972 Issued in ID

Practice address

1155 E Winding Creek Dr
Eagle, ID 83616-7232

Phone

(515) 320-4103

NPI assigned

Feb 16, 2021

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

Electronic endpoints 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": "1613433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1942893409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 W DEER CREST DR APT P105",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836464621",
            "telephone_number": "515-320-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 E WINDING CREEK DR",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836167232",
            "telephone_number": "515-320-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHANSON",
        "first_name": "STORMIE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "drstormiej",
            "affiliation": "N",
            "endpointDescription": "Chirotouch communication",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1155 E Winding Creek Dr",
            "city": "Eagle",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836167232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hailey Jellison, LMT
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• Braeden Tyler-Makai Jensen, DC
• Catlin Jensen
• Leonard Jensen, FNP
• Jeffery L Johnson, PA
• Judith L. Johnson, APRN, CNS
• Mark David Johnston, PHARMD
• Trisha Jones, PT
• Jennifer Jordan, PSYD

• Chiropractor in Eagle, ID
• Providers in Eagle, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.