MRS. ANGELICA JOHNSON (NPI# 1144790437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144790437 |
| Entity Type | Individual |
| Full Name | MRS. ANGELICA JOHNSON |
| Credential | ATC |
| Practice Address |
78-6831 Alii Dr Ste 422 Kailua Kona HI 96740-5402 |
| Practice Telephone | 8087478321 |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2018-11-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT-327 | HI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891107439 | Angelica Johnson | Student in an Organized Health Care Education/Training Program | 1221 Lyndon St Apt 17, South Pasadena, CA 91030-3740 | 2014-06-02 |
| 1184615197 | Angelica M. Johnson | Nurse Practitioner | 1203 15 St., Fort Benton, MT 59442 | 2005-10-31 |
| 1285247015 | Angelica Christine Johnson | Student in an Organized Health Care Education/Training Program | 1830 E Monument St Ste 6-100, Baltimore, MD 21287-0020 | 2020-08-31 |
| 1801369152 | Angelica Ann Johnson | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2019-01-09 |
| 1407218613 | Angelica Monique Johnson | Pediatrics | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146-2423 | 2016-03-26 |
| Street Address |
78-6831 ALII DR STE 422 |
| City | KAILUA KONA |
| State | HI |
| Zip Code | 96740-5402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497380059 | Ali'i Health Center | Orthopaedic Surgery | 78-6831 Alii Dr Ste 422, Kailua Kona, HI 96740-5402 | 2020-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870577 | Elise Christine Duvua | Massage Therapist | 75-127 Lunadule Rd. Suite #5, Kailua Kona, HI 96740 | 2020-10-29 |
| 1356954820 | Zellda Keath | Acupuncturist | Kohanaiki Club Services, 73-2055 Ala Kohanaiki, Kailua-kona, HI 96740 | 2020-08-25 |
| 1467070979 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 75-971 Henry St, Kailua Kona, HI 96740 | 2020-07-10 |
| 1275182040 | Jessica Marie Penaranda | Pharmacist | 5595 Palani Road, Kona, HI 96740 | 2019-09-05 |
| 1558870600 | Malia Lewis Vannatta | Nurse Practitioner | 75-184 Hulalalai Rd, 302, Kailua Kona, HI 96740 | 2017-09-20 |
| 1043759087 | Paul Michael Heller | Acupuncturist | 72 3996 Hawaii Belt Rd, Kailua Kona, HI 96740 | 2017-02-22 |
| 1255787974 | John Fujita | Pharmacist | 74-5456 Kamakaeha Ave, Kailua Kona, HI 96740 | 2016-05-11 |
| 1326425083 | Lauren Deweese | Massage Therapist | 76-6194 Holualoa Beach Rd, Unit 6, Kailua-kona, HI 96740 | 2015-05-01 |
| 1073907754 | Kathleen Marie Coyle | Massage Therapist | 76-217 Keakealani Street, Kailua Kona, HI 96740 | 2015-03-20 |
| 1841609971 | Shellie R Norman | Nurse Practitioner | 75-5995 Kuakini Hwy Ste 443&445, Kailua Kona, HI 96740 | 2014-08-01 |
| Find all providers in zip 96740 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356998835 | Ellie Barbara Furneisen | Specialist/Technologist | 73-4366 Mau Loa Hema Pl, Kailua Kona, HI 96740-8511 | 2019-08-20 |
| 1881846715 | Ariane N Woodward | Specialist/Technologist | 71-1770 Puu Lani Dr # C43, Kailua Kona, HI 96740-8315 | 2008-10-22 |
| 1366585853 | Rebekah Lussiaa | Specialist/Technologist | 74-5000 Puohulihuli St, Kailua Kona, HI 96740-3318 | 2007-02-14 |
| 1598215048 | Mikala G Pino | Specialist/Technologist | 74-5214 Keanalehu Dr, Kailua Kona, HI 96740 | 2016-10-08 |
| 1538525886 | Kimberly Nagy | Specialist/Technologist | 74-5000 Puohulihuli St, Kailua Kona, HI 96740-3318 | 2015-12-31 |
| 1861886483 | Richard Robert Watts | Specialist/Technologist | 74-5000 Puohulihuli St, Kailua Kona, HI 96740-3318 | 2015-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949143 | Makanalani Valery Chun | Specialist/Technologist | 1171 Kaumailuna Pl, Honolulu, HI 96817-1517 | 2020-10-13 |
| 1508481110 | Leah Renee Komisak | Specialist/Technologist | 818 Laula Way Apt 4, Honolulu, HI 96814-2250 | 2020-06-09 |
| 1033738265 | Jamie Sardinha | Specialist/Technologist | 1317 Ala Aolani St, Honolulu, HI 96819-1466 | 2020-04-08 |
| 1619509007 | Caylie Shiramizu | Specialist/Technologist | 255 Mananai Pl Apt T, Honolulu, HI 96818-5328 | 2020-02-04 |
| 1588209373 | Mariah K Davis | Specialist/Technologist | 94-1150 Awaiki Pl, Waipahu, HI 96797-3260 | 2019-11-15 |
| 1891340675 | Joy Wright | Specialist/Technologist | 91-5431 Kapolei Pkwy, Kapolei, HI 96707-5000 | 2019-08-07 |
| 1972168557 | Kaylen Higa | Specialist/Technologist | 95-219 Lilii Pl, Mililani, HI 96789-4221 | 2019-05-08 |
| 1841757978 | Michelle Leighann Wimberley | Specialist/Technologist | 909 Haumea St, Kapolei, HI 96707-2044 | 2019-02-25 |
| 1104399211 | Kaualiiliimaikalani Mayumi Segawa | Specialist/Technologist | 67-170 Farrington Hwy, Waialua, HI 96791-9605 | 2019-01-11 |
| 1164993747 | Jake Rolbiecki | Specialist/Technologist | 15-3038 Pahoa Village Rd, Pahoa, HI 96778-9700 | 2018-12-07 |
| Find all providers with the same taxonomy | ||||
| City | KAILUA KONA |
| Zip Code | 96740 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.