SAMARA DAEVA JOY JOHNSON (NPI# 1225673551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225673551 |
| Entity Type | Individual |
| Full Name | SAMARA DAEVA JOY JOHNSON |
| Credential | ATC |
| Practice Address |
15 Royce Dr Churchville NY 14428-8900 |
| Practice Telephone | 7169863193 |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2020-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2773 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
15 ROYCE DR |
| City | CHURCHVILLE |
| State | NY |
| Zip Code | 14428-8900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427214329 | Pinaki Sett | Pharmacist | 42 B South Main Street, Churchville, NY 14428 | 2008-07-31 |
| 1528192879 | Suzanne C Ivancic | Social Worker | 53 West Main Street, Honeoye Falls, NY 14428 | 2007-03-16 |
| 1437267184 | Robert D. Schubmehl | Dentist | 42-f South Main Street, Churchville, NY 14428 | 2006-08-25 |
| 1639282486 | Linda S Schmalfuss | Registered Nurse | 35 Attridge Rd, Churchville, NY 14428 | 2006-08-16 |
| 1639277643 | Churchville Pharmacy Inc | Pharmacy | 42 S Main St, Churchville, NY 14428 | 2006-09-21 |
| 1700407004 | Ethel M Webb | Contractor | 495 Attridge Road, 2, Churchville, NY 14428-1462 | 2020-04-28 |
| 1891183554 | Tammy Williams-cromey | Registered Nurse | 17 Royce Dr, Churchville, NY 14428-8900 | 2015-01-05 |
| 1902115272 | John F. Kissel | Physical Therapist | 408 Dewey St, Churchville, NY 14428-9103 | 2010-10-04 |
| 1376152892 | Kaylin L Stevenson | Registered Nurse | 99 Bangs Rd, Churchville, NY 14428-9105 | 2020-07-30 |
| 1700949773 | Theresa Ann Cavuoto | Registered Nurse | 12 James Hollow Dr, Churchville, NY 14428-9201 | 2006-12-19 |
| Find all providers in zip 14428 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609376771 | Grant Fragassi | Specialist/Technologist | 2 Green Valley Dr, Churchville, PA 18966-1613 | 2018-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779309 | Jonathan Edwards | Specialist/Technologist | 39 Monty St, Plattsburgh, NY 12901-3702 | 2020-10-30 |
| 1245830207 | Skyler Lauren Cirillo | Specialist/Technologist | 1000 Hempstead Turnpike, Hempstead, NY 11549-0001 | 2020-10-29 |
| 1790384410 | Gina Siracusano | Specialist/Technologist | 630 Mastic Rd Ste 4, Mastic Beach, NY 11951-1020 | 2020-10-23 |
| 1134728504 | Corinne Edwards | Specialist/Technologist | 3606 Nutt Rd, Jamestown, NY 14701-9432 | 2020-10-18 |
| 1720687163 | Theresa A Trump | Specialist/Technologist | 7 Mapleline Rd, Ballston Lake, NY 12019-1589 | 2020-10-17 |
| 1235738667 | Erica Michalski | Specialist/Technologist | 157 Hillpine Rd, Cheektowaga, NY 14227-2261 | 2020-10-17 |
| 1396344743 | Jared Russom | Specialist/Technologist | 13 Brookview Ave., Delmar, NY 12054 | 2020-10-17 |
| 1720686231 | Leighann Buzzard | Specialist/Technologist | 277 Forbes Ave, Tonawanda, NY 14150-4705 | 2020-10-16 |
| 1861090367 | Jake Savino | Specialist/Technologist | 185 Oak Ave, Staten Island, NY 10306-4002 | 2020-10-15 |
| 1992303572 | Elise Fitzsimmons | Specialist/Technologist | 9 Laker Hall, Oswego, NY 13126 | 2020-10-15 |
| Find all providers with the same taxonomy | ||||
| City | CHURCHVILLE |
| Zip Code | 14428 |
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| 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.