DEIRDRE JOHNSON (NPI# 1619393188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619393188 |
| Entity Type | Individual |
| Full Name | DEIRDRE JOHNSON |
| Credential | MAT LAT ATC |
| Practice Address |
5500 Dixon Dr Raleigh NC 27609-4202 |
| Mailing Address |
2429 Village Grove Rd Raleigh NC 27613-3656 |
| Practice Telephone | 9198814800 |
| Mailing Telephone | 9193208245 |
| Enumeration Date | 2014-03-08 |
| Last Update Date | 2014-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1975 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942435326 | Deirdre Janel Johnson | Counselor | 11587 Hickory Oak Dr, Jacksonville, FL 32218-9076 | 2009-05-28 |
| 1467674168 | Deirdre Deanne Johnson | Social Worker | 103 Woodland St, 51 Capen St Hartford Ct 06120, Hartford, CT 06105-1233 | 2007-05-03 |
| 1396061503 | Deirdre Johnson | Pharmacist | 17850 Lower Boones Ferry Rd, Lake Oswego, OR 97035-5228 | 2010-04-13 |
| 1356665418 | Deirdre Jo Johnson | Counselor | 10601 Grant Rd, Suite 114, Houston, TX 77070 | 2010-03-18 |
| 1952594285 | Deirdre Marie Johnson | Social Worker | 1061 Harmon Ave, Ste 1d03, Fort Stewart, GA 31314-5641 | 2007-08-21 |
| 1376740506 | Deirdre Renee Johnson | Case Manager/Care Coordinator | 3407 Shamrock Ct, Gautier, MS 39553 | 2007-06-29 |
| Street Address |
5500 DIXON DR |
| City | RALEIGH |
| State | NC |
| Zip Code | 27609-4202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184235582 | Choice Service Solutions LLC | In Home Supportive Care | 5300 Six Fox Rd Siite205, Raleigh, NC 27609 | 2020-08-11 |
| 1003426073 | Rosana Oba -rovira | Registered Nurse | 5300 Six Fox Road, Suite 205, Raleigh, NC 27609 | 2020-08-05 |
| 1821612706 | Helen Alexandra Bonner | Physical Medicine & Rehabilitation | Hey Clinic Pa, 3320 Wake Forest Road Ste 450, Raleigh, NC 27609 | 2020-06-05 |
| 1215423579 | Appiah Nana Larbi | Social Worker | Easter Seals Ucp 4000 Wake Forest Rd Ste 200, Raleigh, NC 27609 | 2018-07-10 |
| 1215423777 | Broadway Home Care LLC | In Home Supportive Care | 107 Windel Dr Ste 105, Raleigh, NC 27609 | 2018-07-09 |
| 1275027948 | Lacey Allene Cottingham | Social Worker | 312 W Millbrook Rd Ste 129, Raleigh, NC 27609 | 2018-06-18 |
| 1447748819 | Integrated Dermatology of North Raleigh, Pllc | Dermatology | 3809 Computer Dr Ste 200, Raleigh, NC 27609 | 2018-05-01 |
| 1902325418 | Naomi Christine Askew | Nurse Practitioner | 3400 Wake Forest Drive, Bldg 9, Bldg #9, 4th Floor, Raleigh, NC 27609 | 2017-09-15 |
| 1962929679 | Alexia Montague | Social Worker | 1306 Paddock Drive Suite E-100, Raleigh, NC 27609 | 2017-08-23 |
| 1730602236 | Chantel Washington-mbuthia | Counselor | 1100 Logger Ct. Ste C100, Heartfelt Alternative Inc, Raleigh, NC 27609 | 2017-07-18 |
| Find all providers in zip 27609 | ||||
| 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 |
|---|---|---|---|---|
| 1033720073 | Anthoni Austin Wedderburn | Specialist/Technologist | 1401 Edwards Mill Rd, Raleigh, NC 27607-0718 | 2020-08-13 |
| 1871110411 | Kayleigh Dolphin | Specialist/Technologist | 6601 Hillsborough St Ste 113, Raleigh, NC 27606-1174 | 2020-06-30 |
| 1992334247 | Brianne Lawton | Specialist/Technologist | 1 Reynolds Coliseum, Raleigh, NC 27695-0001 | 2020-04-07 |
| 1710535018 | Suzanne Marrone | Specialist/Technologist | 1612 Township Cir, Raleigh, NC 27609-5071 | 2019-08-29 |
| 1134685639 | Morgan Lynn Mann | Specialist/Technologist | 5437 Stewartby Dr, Raleigh, NC 27613-5737 | 2019-02-20 |
| 1740746999 | Renee Louise Rightmyer | Specialist/Technologist | 2008 Lacebark Ln, Raleigh, NC 27613-6159 | 2019-02-13 |
| 1023582095 | Joshua Lamont Williams | Specialist/Technologist | 5336 Cog Hill Ct, Raleigh, NC 27604-5894 | 2019-01-14 |
| 1285107938 | Adrienne Maniktala | Specialist/Technologist | 6336 Wrenwood Ave, Raleigh, NC 27607-4826 | 2019-01-05 |
| 1154891018 | Lindsey Croom | Specialist/Technologist | 3480 Wake Forest Rd Ste 204, Raleigh, NC 27609-7376 | 2018-12-04 |
| 1386137735 | Maitlyn Avery Betts | Specialist/Technologist | 8421 Two Courts Drive, Raleigh, NC 27613 | 2018-06-11 |
| Find all providers in RALEIGH | ||||
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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.