JOEL TIMOTHY JOHNSON MD
NPI 1295594349
Student in an Organized Health Care Education/Training Program in Seattle, WA

Q: What is Joel Johnson's NPI number?

The NPI number for Joel Johnson is 1295594349. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Q: What is Joel Johnson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Joel Johnson was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 18, 2024PECOS Enrolled

1959 NE PACIFIC ST # 356540, SEATTLE, WA 98195(206) 543-2474(206) 543-2958 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Joel Timothy Johnson Md NPPES

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

JOEL TIMOTHY JOHNSON MD (NPI 1295594349) is an individual student in an organized health care education/training program in Seattle, Washington and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295594349

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJOEL TIMOTHY JOHNSONCredential: MD

Location Address1959 NE PACIFIC ST # 356540Seattle, WA 98195-0001

Mailing Address1959 Ne Pacific St Box 356540Seattle, WA 98195-0001

Phone(206) 543-2474

Fax(206) 543-2958

Sole ProprietorNo

Enumeration DateMarch 18, 2024

NPPES CertifiedMarch 18, 2024

✔ NPI 1295594349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

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.

1959 NE PACIFIC ST # 356540, Seattle, WA 98195

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joel Timothy Johnson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 13

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

GRACE MARIE SMITH

Student in an Organized Health Care Education/Training Program