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DEONDRE M JOHNSON
NPI 1871141994
Student in an Organized Health Care Education/Training Program in Bridgewater, VA

Active since September 02, 2019
402 E COLLEGE ST, BRIDGEWATER, VA 22812(919) 527-4148 Get Directions Write a Review

NPPES record last updated: September 2, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Deondre M Johnson NPPES

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

DEONDRE M JOHNSON (NPI 1871141994) is an individual student in an organized health care education/training program in Bridgewater, Virginia and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1871141994
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDEONDRE M JOHNSON
Location Address402 E COLLEGE STBridgewater, VA 22812-1511
Mailing Address5009 C And L AveWake Forest, NC 27587-6355 · (919) 527-4148
Phone(919) 527-4148
Sole ProprietorNo
Enumeration DateSeptember 2, 2019
✔ NPI 1871141994 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.
402 E COLLEGE ST, Bridgewater, VA 22812
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Other Identifiers 1

OtherU6174564304Cigna

Other Providers at the Same Location NPPES 20

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

YETBAREK FEKADU
Specialist/Technologist (Athletic Trainer)
402 E COLLEGE ST
BRIDGEWATER, VA 22812
Rockingham County (540) 828-8000
RYAN PHILIP COSTELLO
Student in an Organized Health Care Education/Training Program
402 E COLLEGE ST
BRIDGEWATER, VA 22812
Rockingham County (703) 398-6836
KEIRSTEN KENNEDY
Student in an Organized Health Care Education/Training Program
402 E COLLEGE ST
BRIDGEWATER, VA 22812
Rockingham County (540) 828-8000
ANDREW KEGLEY
Student in an Organized Health Care Education/Training Program
402 E COLLEGE ST
BRIDGEWATER, VA 22812
Rockingham County (286) 620-9040
JILLIAN PAIGE MADDRA
Specialist/Technologist (Athletic Trainer)
402 E COLLEGE ST
BRIDGEWATER, VA 22812
Rockingham County (540) 828-8000
ELIZABETH ROSE WALKER
Student in an Organized Health Care Education/Training Program
402 E COLLEGE ST
BRIDGEWATER, VA 22812
Rockingham County (540) 828-2000
JELANI BACKUS
Specialist/Technologist (Athletic Trainer)
402 E COLLEGE ST
BRIDGEWATER, VA 22812
Rockingham County (540) 828-8000
MARIA RECTOR
Specialist/Technologist (Athletic Trainer)
402 E COLLEGE ST
BRIDGEWATER, VA 22812
Rockingham County (240) 405-5872

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 Deondre Johnson's NPI number?

The NPI number for Deondre Johnson is 1871141994. It was assigned to this individual provider in the NPPES registry on September 2, 2019.

Where is Deondre Johnson located?

Deondre Johnson practices at 402 E College St, Bridgewater, VA 22812. The listed phone number is (919) 527-4148.

What is Deondre 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 Deondre Johnson was last updated on September 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.