LUCY JOHNSON (NPI# 1508210154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508210154 |
| Entity Type | Individual |
| Full Name | LUCY JOHNSON |
| Credential | ATC |
| Practice Address |
11808 Se 172nd Ln Apt N303 Renton WA 98058 |
| Mailing Address |
940 W 5th St Port Angeles WA 98363-2113 |
| Practice Telephone | 5418638001 |
| Mailing Telephone | 5418638001 |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2018-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
A1 60404724 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215422266 | Lucy Marie Johnson | Dentist | Va Health Ann Arbor Dental Service, 2215 Fuller Road, Ann Arbor, MI 48105-2303 | 2018-06-22 |
| 1073670626 | Lucy T Johnson | Counselor | 4411 W Gore Blvd Ste B8, Lawton, OK 73505-5977 | 2007-01-02 |
| 1093160632 | Lucy Johnson | Technician, Other | 474 W 200 N, St George, UT 84770-4505 | 2016-05-02 |
| 1508178948 | Lucy Hamilton Johnson | Pharmacist | 345 Smith Ave N, Saint Paul, MN 55102-2346 | 2010-07-13 |
| 1699951715 | Lucy Joan Johnson | Nurse Practitioner | 2201 Lexington Ave, Ashland, KY 41101-2843 | 2008-01-18 |
| 1184642753 | Lucy M Johnson | Clinical Nurse Specialist | 100 4th St S, Fargo, ND 58103-1929 | 2006-07-18 |
| Street Address |
11808 SE 172ND LN APT N303 |
| City | RENTON |
| State | WA |
| Zip Code | 98058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639799471 | Fairwood Dental LLC | Dentist | 14250 Se 176th #j7, Renton, WA 98058 | 2020-04-22 |
| 1538641386 | Kenneth Graber | Physical Therapist | 17650 140th Avenue Sw, Suite B-07, Renton, WA 98058 | 2018-08-29 |
| 1104253947 | Bertila Martinez | Dental Hygienist | 14600 Se 176th St #v4, Renton, WA 98058 | 2013-10-10 |
| 1326340456 | Tabatha Burris | Specialist | 14410 Petrovistsky Rd Se #109, Renton, WA 98058 | 2010-11-22 |
| 1295042570 | Hanh Q Nguyen | Pharmacist | 16940 116th Avenue Southeast, Renton, WA 98058 | 2010-09-08 |
| 1861692675 | Ernestine Johanna Rombouts | Counselor | 16205 128th Place Se, Renton, WA 98058 | 2007-07-19 |
| 1912100991 | Cara Rozell | Pharmacist | 400 South 43rd St, Renton, WA 98058 | 2007-06-07 |
| 1699821231 | Lynne Suzanne Balderson | Massage Therapist | 14410 Se Petrovitsky Rd #201, Renton, WA 98058 | 2007-01-26 |
| 1023173465 | Sara Jean Denherder | Massage Therapist | 17070 - 140th Ave Se, Renton, WA 98058 | 2006-12-26 |
| 1619037157 | Fairwood Orthodontics | Dentist | 14300 Se Petrovitsky Road, Renton, WA 98058 | 2006-12-12 |
| Find all providers in zip 98058 | ||||
| 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 |
|---|---|---|---|---|
| 1063076255 | Breanne Michele Smiley | Specialist/Technologist | 737 Logan Ave N, Renton, WA 98057 | 2019-04-24 |
| 1285168948 | Marisa Ann Manus | Specialist/Technologist | 14520 Se 196th Pl, Renton, WA 98058-9415 | 2017-04-19 |
| 1851746911 | Hailey Anne Wiest | Specialist/Technologist | 15233 Se 175th Pl, Renton, WA 98058-9088 | 2016-04-26 |
| 1710362967 | Jesse Lee Free | Specialist/Technologist | 737 Logan Ave North, Mc 9c-01, Renton, WA 98057-0000 | 2015-07-29 |
| 1891131397 | Christopher Jon Neumann | Specialist/Technologist | 12 Seahawks Way, Renton, WA 98056-1572 | 2013-05-11 |
| 1174898225 | Geniqua M Harris | Specialist/Technologist | 232 Burnett Ave S, Apt B304, Renton, WA 98057-2107 | 2012-03-21 |
| 1417169970 | Larry Gene Brown | Specialist/Technologist | 16655 Se 136th St, Renton, WA 98059-6950 | 2007-05-04 |
| 1801369368 | Trevor Franklin Merritt | Specialist/Technologist | 12 Seahawks Way, Renton, WA 98056-1572 | 2019-01-08 |
| 1255807319 | Mackenzie Leigh Marques | Specialist/Technologist | 12 Seahawks Way, Renton, WA 98056-1572 | 2018-10-16 |
| 1821508268 | Ian Anderson | Specialist/Technologist | 4011 Talbot Rd S Ste 300, Renton, WA 98055-5791 | 2017-10-11 |
| Find all providers in RENTON | ||||
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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.