MR. PATRICK ALAN JOHNSON (NPI# 1225380629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225380629 |
| Entity Type | Individual |
| Full Name | MR. PATRICK ALAN JOHNSON |
| Credential | RD LD |
| Practice Address |
1115 W Bay Dr Nw Suite 202 Olympia WA 98502-4658 |
| Mailing Address |
800 Yauger Way Sw F-202 Olympia WA 98502-8908 |
| Practice Telephone | 3605708010 |
| Practice Fax Number | 3605708009 |
| Mailing Telephone | 4196101820 |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2012-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
DI60312524 | WA | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WASHINGTON DIETITIAN LICENSURE | DI60312524 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710451927 | Patrick Louis Johnson | Specialist/Technologist | 103 Lynbrook Blvd, Madison, AL 35758-8137 | 2019-01-22 |
| 1699058610 | Patrick Brooks Johnson | Physical Therapy Assistant | 113 Loma Linda Dr, Cleveland, GA 30528-3164 | 2011-09-26 |
| 1275854135 | Patrick Trey Johnson | Pharmacist | 13776 N Hwy 183, Austin, TX 78750-1872 | 2010-06-15 |
| 1346563228 | Patrick Johnson | Pharmacist | 151 W Lake St Suite 1100 Campus Delivery 8031, Fort Collins, CO 80523-7046 | 2010-03-08 |
| 1467626853 | Patrick Dean Johnson | Chiropractor | 2610 4th Ave W, Gladstone, MI 49837-2107 | 2008-04-16 |
| 1710033774 | Patrick Todd Johnson | Dentist | 5111 Ehrlich Rd, Suite150, Tampa, FL 33624-2075 | 2007-01-25 |
| 1699844522 | Patrick L Johnson | Dentist | 108 Oakmont Dr, Greenville, NC 27858-5936 | 2006-11-07 |
| 1972603918 | Patrick R Johnson | Psychologist | 2901 Ne Blakeley St, Suite 3b, Seattle, WA 98105-3164 | 2006-09-22 |
| 1649276866 | Patrick Anthony Johnson | Optometrist | 3458 Neely Rd, Joint Base Mdl, NJ 08641-5312 | 2005-06-22 |
| 1225684533 | Patrick Johnson | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Spc 5332, Taubman Center, 2nd Floor, Reception F, Ann Arbor, MI 48109-5331 | 2019-08-13 |
| Street Address |
1115 W BAY DR NW SUITE 202 |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98502-4658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902856982 | Natalie I Kreinbrink Kather | Family Medicine | 1115 W Bay Dr Nw, Suite 202, Olympia, WA 98502-4658 | 2006-05-11 |
| 1518314459 | Energy Employee Home Health Services, LLC | Home Health | 1115 W Bay Dr Nw, Olympia, WA 98502-4658 | 2016-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409172 | Fanny Cordero | Interpreter | 1415 4th Ave W, Olympia, WA 98502 | 2020-08-26 |
| 1235762832 | Accessible Living Physical Therapy | Clinic/Center | 3524 7th Ave Se, Olympia, WA 98502 | 2020-02-21 |
| 1548807738 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1200 Cooper Point Road Sw, Suite 100, Olympia, WA 98502 | 2019-12-06 |
| 1851946388 | Katherine Ann Vitela | Registered Nurse | 4909 Green Wood Dr Sw, Olympia, WA 98502 | 2019-08-01 |
| 1538632658 | Carmen Rae Breding | Massage Therapist | 2627 Capital Mall Dr Se, Olympia, WA 98502 | 2019-01-11 |
| 1285129155 | Fook Yee Cheung | Genetic Counselor, MS | 2010 Caton Way Sw Ste 102, Olympia, WA 98502 | 2018-06-24 |
| 1942724158 | William Coburn | Specialist/Technologist | 703 Lilly Road Ne, Suite 104, Olympia, WA 98502 | 2017-07-29 |
| 1225567415 | Thierry Buckner | Counselor | 2400 Bristol Court Sw, Olympia, WA 98502 | 2017-06-09 |
| 1619406048 | Trenton Reid | Massage Therapist | 2103 Harrison Ave Nw #2642, Olympia, WA 98502 | 2017-06-08 |
| 1962807305 | Richa Mehta | Dentist | 1530 Black Lake Boulevard, Suite A103, Olympia, WA 98502 | 2014-10-28 |
| Find all providers in zip 98502 | ||||
| Taxonomy Code | 133VN1006X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Metabolic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548401425 | Jennifer Nixon Yahn | Dietitian, Registered | 3714 Lincoln Ct Ne, Renton, WA 98056-8022 | 2009-03-23 |
| 1568635993 | Melonie S. Trudell | Dietitian, Registered | 2510 Hall Creek Rd, Inchelium, WA 99138-9503 | 2008-04-07 |
| 1144437864 | Joan Milton | Dietitian, Registered | 910 N Washington St Ste 209, Spokane, WA 99201-2260 | 2007-05-16 |
| 1659737658 | Christine Kreins | Dietitian, Registered | 125 130th St Se, First Floor, Everett, WA 98208-6401 | 2016-01-06 |
| 1790025203 | Ajuva Medical Aesthetics, Pllc | Dietitian, Registered | 9425 N Nevada St, Suite 300, Spokane, WA 99218-5014 | 2013-02-20 |
Please comment or provide details below to improve the information on MR. PATRICK ALAN JOHNSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.