Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

NICOLE JOHNSON PA-S
NPI 1902724768
Student in an Organized Health Care Education/Training Program in Moscow, ID

Q: What is Nicole Johnson's NPI number?

The NPI number for Nicole Johnson is 1902724768. It was assigned to this individual provider in the NPPES registry on July 8, 2026.

Q: What is Nicole 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 Nicole Johnson was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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 July 08, 2026

1098 BEARPAW LN, MOSCOW, ID 83843(208) 596-7997 Get Directions Write a Review

NPPES record added: July 8, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Nicole Johnson Pa-s NPPES

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

NICOLE JOHNSON PA-S (NPI 1902724768) is an individual student in an organized health care education/training program in Moscow, Idaho and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1902724768

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameNICOLE JOHNSONCredential: PA-S

Location Address1098 BEARPAW LNMoscow, ID 83843-7408

Mailing Address1098 Bearpaw LnMoscow, ID 83843-7408 · (208) 596-7997

Phone(208) 596-7997

Sole ProprietorNo

Enumeration DateJuly 8, 2026

NPPES CertifiedJuly 8, 2026

✔ NPI 1902724768 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.

1098 BEARPAW LN, Moscow, ID 83843

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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 Nicole Johnson's NPI number?

The NPI number for Nicole Johnson is 1902724768. It was assigned to this individual provider in the NPPES registry on July 8, 2026.

Where is Nicole Johnson located?

Nicole Johnson practices at 1098 Bearpaw Ln, Moscow, ID 83843. The listed phone number is (208) 596-7997.

What is Nicole 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 Nicole Johnson was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.