MR. MITCHELL STEVEN JOHNSON
NPI 1164980611
Student in an Organized Health Care Education/Training Program in Williams Bay, WI

Active since March 04, 2019
350 CONSTANCE BLVD, WILLIAMS BAY, WI 53191(262) 245-5531 Get Directions Write a Review

NPPES record last updated: March 4, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Mitchell Steven Johnson NPPES

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

MR. MITCHELL STEVEN JOHNSON (NPI 1164980611) is an individual student in an organized health care education/training program in Williams Bay, Wisconsin and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1164980611
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. MITCHELL STEVEN JOHNSON
Location Address350 CONSTANCE BLVDWilliams Bay, WI 53191-9547
Mailing Address1303 Scottswood RdRockford, IL 61107-2063 · (815) 378-4999
Sole ProprietorYes
Enumeration DateMarch 4, 2019
NPI 1164980611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
350 CONSTANCE BLVD, Williams Bay, WI 53191

Other Providers at the Same Location NPPES

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

Social Worker
350 CONSTANCE BLVD
WILLIAMS BAY, WI 53191

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 Mitchell Johnson's NPI number?

The NPI number for Mitchell Johnson is 1164980611. It was assigned to this individual provider in the NPPES registry on March 4, 2019.

Where is Mitchell Johnson located?

Mitchell Johnson practices at 350 Constance Blvd, Williams Bay, WI 53191. The listed phone number is (262) 245-5531.

What is Mitchell Johnson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mitchell Johnson was last updated on March 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.