Lita Elaine Johnson, CSFA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

100102656 Issued in ID

Practice address

2845 SW Heaton LN
Mountain Home, ID 83647-6409

Phone

(208) 803-8246

NPI assigned

Oct 27, 2025

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

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": "1761523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1962370486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 SW HEATON LN",
            "city": "MOUNTAIN HOME",
            "state": "ID",
            "postal_code": "836476409",
            "telephone_number": "208-803-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 SW HEATON LN",
            "city": "MOUNTAIN HOME",
            "state": "ID",
            "postal_code": "836476409",
            "telephone_number": "208-803-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LITA",
        "middle_name": "ELAINE",
        "credential": "CSFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-27",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "ID",
            "license": "100102656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inspiring Change, Inc
• Deborah Jackson
• Jeff Jausoro
• Barry Edward Jenks, LPC, NCC
• John E. Goodrich, D.D.S.
• Stephen C Johnson, DO
• Teresa Michelle Johnson, MS CF-SLP
• Onome Benjamin Jonah, PHARMACIST
• Jones Counseling & Consulting, LLC
• John Paul Jones, LCPC - 9219 (ID)

• All providers in Mountain Home, ID
• Surgical Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.