MR. JEFFREY A JOHNSON LCPO
NPI 1114914702
Specialist - Prosthetics Case Management in Walla Walla, WA

Q: What is Jeffrey Johnson's NPI number?

The NPI number for Jeffrey Johnson is 1114914702. It was assigned to this individual provider in the NPPES registry on September 29, 2005.

Q: What is Jeffrey Johnson's specialty?

The primary specialty registered for this NPI is Specialist, specializing in Prosthetics Case Management, with taxonomy code 1744P3200X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Johnson was last updated on July 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 29, 2005

919 W MAIN ST, WALLA WALLA, WA 99362(509) 525-8322(509) 252-2982 Get Directions Write a Review

NPPES record last updated: July 10, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Jeffrey A Johnson Lcpo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JEFFREY A JOHNSON LCPO (NPI 1114914702) is an individual prosthetics case management provider in Walla Walla, Washington, licensed in Washington (PS00000038) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1114914702

Entity TypeIndividualMale

Primary Taxonomy1744P3200X

Provider Legal NameMR. JEFFREY A JOHNSONCredential: LCPO

Location Address919 W MAIN STWalla Walla, WA 99362-2746

Mailing AddressPo Box 662Walla Walla, WA 99362-0016 · (509) 525-8322 · Fax (509) 525-2982

Phone(509) 525-8322

Fax(509) 252-2982

Sole ProprietorYes

Enumeration DateSeptember 29, 2005

Last NPPES UpdateJuly 10, 2008

✔ NPI 1114914702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist · Prosthetics Case ManagementOther Service Providers

Taxonomy Code1744P3200X

License✔ Licensed in WA · PS00000038

Definition

Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics.

919 W MAIN ST, Walla Walla, WA 99362

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Other Identifiers 3

Medicaid164988OR

Medicare NSC0210110001WA

Medicaid9035353WA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COLUMBIA BASIN PROSTHETICS & ORTHOTICS, INC

Prosthetic/Orthotic Supplier

919 W MAIN ST
WALLA WALLA, WA 99362

Walla Walla County (509) 525-8322

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Johnson's NPI number?

The NPI number for Jeffrey Johnson is 1114914702. It was assigned to this individual provider in the NPPES registry on September 29, 2005.

Where is Jeffrey Johnson located?

Jeffrey Johnson practices at 919 W Main St, Walla Walla, WA 99362. The listed phone number is (509) 525-8322.

What is Jeffrey Johnson's specialty?

The primary specialty registered for this NPI is Specialist, specializing in Prosthetics Case Management, with taxonomy code 1744P3200X.

When was this NPI record last updated?

The NPPES record for Jeffrey Johnson was last updated on July 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.