DAVID MICHAEL JOHNSON (NPI# 1316490337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316490337 |
| Entity Type | Individual |
| Full Name | DAVID MICHAEL JOHNSON |
| Credential | PA-C |
| Practice Address |
17400 Reservation Rd La Conner WA 98257-8801 |
| Mailing Address |
Po Box 683 La Conner WA 98257-0683 |
| Practice Telephone | 3604663167 |
| Mailing Telephone | 3604663167 |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2017-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA60792211 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841804044 | David Johnson | Home Health Aide | 4436 Davis Grove Blvd, Olive Branch, MS 38654-5631 | 2020-09-04 |
| 1952803314 | David M Johnson | Specialist | 1345 Nw 15th St, Lincoln City, OR 97367-3327 | 2018-03-01 |
| 1932615333 | David Johnson | Hearing Instrument Specialist | 905 N Cass St, Wabash, IN 46992-1043 | 2017-12-20 |
| 1316457211 | David Johnson | Specialist/Technologist | 14354 Mission Way, Broomfield, CO 80023-4049 | 2017-10-05 |
| 1437519501 | David Hale Johnson | Nurse Practitioner | 169 Doctors Drive, Boone, NC 28607 | 2016-03-02 |
| 1366812141 | David Clayton Johnson | Occupational Therapist | 201 Ridgecrest Dr, Chapel Hill, NC 27514-2104 | 2015-10-06 |
| 1447635529 | David Johnson | Student in an Organized Health Care Education/Training Program | 9666 Kent St, Elk Grove, CA 95624 | 2015-07-30 |
| 1245623628 | David Johnson | Pharmacist | 10223 50th Ave E, Tacoma, WA 98446-5412 | 2015-03-10 |
| 1710377585 | David Jackson Johnson | Counselor | 862 S Main St Ste 2, Brigham City, UT 84302-3300 | 2015-01-30 |
| 1376892828 | David Berek Johnson | Chiropractor | 7559 Kayne Blvd, Columbus, GA 31909-2521 | 2012-08-30 |
| Street Address |
17400 RESERVATION RD |
| City | LA CONNER |
| State | WA |
| Zip Code | 98257-8801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962462259 | Lisa M Starinchak | Nurse Practitioner | 17400 Reservation Rd, La Conner, WA 98257-8801 | 2006-03-23 |
| 1689826679 | Yolanda Grado Quevedo | Counselor | 17400 Reservation Rd, La Conner, WA 98257-8801 | 2008-10-21 |
| 1376734111 | Swinomish Indian Tribal Community | Clinic/Center | 17400 Reservation Rd, La Conner, WA 98257-8801 | 2007-08-07 |
| 1649461484 | Swinomish Health Clinic | Clinic/Center | 17400 Reservation Rd, La Conner, WA 98257-8801 | 2007-08-07 |
| 1720282445 | Sarah Berner Wilborn | Physician Assistant | 17400 Reservation Rd, La Conner, WA 98257-8801 | 2007-06-14 |
| 1295941920 | Swinomish Health Clinic | Case Management | 17400 Reservation Rd, La Conner, WA 98257-8801 | 2007-05-16 |
| 1205040151 | Swinomish Health Clinic | Case Management | 17400 Reservation Rd, La Conner, WA 98257-8801 | 2007-05-10 |
| 1114080934 | Michelle L Skidmore | Dietitian, Registered | 17400 Reservation Rd, La Conner, WA 98257-8801 | 2006-12-19 |
| 1356419071 | Catherine Anne Lewis | Nurse Practitioner | 17400 Reservation Rd, La Conner, WA 98257-8801 | 2006-12-01 |
| 1164483285 | Swinomish Indian Tribal Community | Clinic/Center | 17400 Reservation Rd, La Conner, WA 98257-8801 | 2006-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568088144 | Rsl La Conner, LLC | Assisted Living Facility | 204 N. 1st St, La Conner, WA 98257 | 2020-06-19 |
| 1255950572 | The Everett Clinic, Pllc | Family Medicine | 528 Myrtle Street, Laconner, WA 98257 | 2020-04-16 |
| 1205302262 | Thanh Nguyen | Pharmacist | 708 E. Morris St, La Conner, WA 98257 | 2018-10-17 |
| 1023590197 | Melissa Danielle Adair | Nurse Practitioner | 708 Morris Street, Suite B, La Conner, WA 98257 | 2018-09-05 |
| 1013363886 | Steven Bruce Gooding | Counselor | 17400 Reservation Rd., La Conner, WA 98257 | 2016-05-10 |
| 1639550643 | Skagit County Fire District 13 | Ambulance | 17433 Snee-oosh Rd, La Conner, WA 98257 | 2015-06-16 |
| 1679909360 | Nina Marie Wawrzyniec | Chiropractor | 125 Washington Street, Laconner, WA 98257 | 2013-09-25 |
| 1669805180 | Reidun E Pederson | Registered Nurse | 403 State St., La Conner, WA 98257 | 2013-08-20 |
| 1326390527 | Susan Jane Erickson | Speech-Language Pathologist | 305 N. 6th, La Conner, WA 98257 | 2012-10-11 |
| 1528331469 | Charles Evert Larsson | Family Medicine | 528 Myrtle Avenue, La Conner, WA 98257 | 2012-02-22 |
| Find all providers in zip 98257 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720282445 | Sarah Berner Wilborn | Physician Assistant | 17400 Reservation Rd, La Conner, WA 98257-8801 | 2007-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790591 | Bailey Mantha-nagrant | Physician Assistant | 7912 170th Ave Ne Unit 301, Redmond, WA 98052-0907 | 2020-11-07 |
| 1518567791 | Addison Christine Richert | Physician Assistant | 121 Kingfisher Pl, Port Hadlock, WA 98339-8733 | 2020-10-28 |
| 1992312177 | Robert Monsees | Physician Assistant | 490 Packwood Ln, Ellensburg, WA 98926-8027 | 2020-09-30 |
| 1649887548 | Jesse E Davis | Physician Assistant | 3512 Serene Way, Lynnwood, WA 98087-5202 | 2020-09-25 |
| 1558977066 | Kimberly Ho | Physician Assistant | 23004 88th Ave W, Edmonds, WA 98026-8616 | 2020-09-20 |
| 1770198954 | Ashish Chaudhary | Physician Assistant | 1215 Dexter Ave N Apt 704, Seattle, WA 98109-3567 | 2020-09-14 |
| 1144835422 | Juleeann Stocking | Physician Assistant | 1517 17th Ave S, Seattle, WA 98144-3522 | 2020-09-13 |
| 1891309555 | Andrew Allyn Bloom | Physician Assistant | 5889 Bow St, Bow, WA 98232-8620 | 2020-09-01 |
| 1558973909 | Margaret Webster | Physician Assistant | 6501 36th Ave Nw, Seattle, WA 98117-6010 | 2020-08-18 |
| 1033720495 | Riley Richardson | Physician Assistant | 1008 E Windemere Ct, Spokane, WA 99223-6228 | 2020-08-11 |
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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.