MR. KYLE MICHAEL JOHNSON (NPI# 1528070539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528070539 |
| Entity Type | Individual |
| Full Name | MR. KYLE MICHAEL JOHNSON |
| Credential | ATC |
| Practice Address |
320 E Carpenter St 1-b Springfield IL 62702-5185 |
| Mailing Address |
6660 Kodiak Rd Riverton IL 62561-6017 |
| Practice Telephone | 2177448000 |
| Practice Fax Number | 2177448004 |
| Mailing Telephone | 2175662155 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235690066 | Kyle Johnson | Case Manager/Care Coordinator | 1809 Brighton Ave, Oklahoma City, OK 73120-1111 | 2019-03-26 |
| 1548720816 | Kyle Patrick Johnson | Physician Assistant | 2955 Clay St Apt 1, San Francisco, CA 94115-1766 | 2019-03-22 |
| 1518492784 | Kyle Ann Johnson | Counselor | 25 S Ewing St Ste 511, Helena, MT 59601-5732 | 2017-04-25 |
| 1801320577 | Kyle Johnson | Pharmacist | 2198 6th Ave, Cadillac, MI 49601-8896 | 2017-04-19 |
| 1588014021 | Kyle Johnson | Dental Hygienist | 1109 S Park St Ste 504, Carrollton, GA 30117-4449 | 2016-06-15 |
| 1730307570 | Kyle E. Johnson | Psychiatry & Neurology | 515 Enterprise Dr, Suite 300, Lowell, AR 72745-8975 | 2007-04-24 |
| 1699785410 | Kyle Dale Johnson | Optometrist | 1104 E Ohio St, Clinton, MO 64735-2458 | 2006-08-08 |
| 1366042855 | Kyle Johnson | Pharmacist | 161 N Walmart Dr, Harrison, AR 72601-1960 | 2020-10-26 |
| 1083226559 | Kyle Johnson | Behavior Technician | 225 Cedar Hill St Ste 200, Marlborough, MA 01752-5900 | 2020-08-17 |
| 1477162071 | Kyle Douglas Johnson | Dentist | 5800 Coit Rd Ste 700, Plano, TX 75023-5946 | 2020-07-29 |
| Street Address |
320 E CARPENTER ST 1-B |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62702-5185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700823879 | Robert C Russell | Plastic Surgery | 320 E Carpenter St, Springfield, IL 62702-5185 | 2006-05-31 |
| 1528226222 | Jennifer S Lee Md LLC | Plastic Surgery | 320 E Carpenter St, Springfield, IL 62702-5185 | 2008-05-29 |
| 1891987988 | Gary Gummerman | Physical Therapist | 320 E Carpenter St, Suite 1-b, Springfield, IL 62702-5185 | 2007-08-13 |
| 1730225863 | Amy Renee Garner | Registered Nurse | 320 E Carpenter St, Suite 1a, Springfield, IL 62702-5185 | 2007-01-29 |
| 1396835641 | Robert C Russell M D S C | Surgery | 320 E Carpenter St, Springfield, IL 62702-5185 | 2006-10-14 |
| 1396856779 | John Aaron Woodard | Physical Therapist | 320 E Carpenter St, Springfield, IL 62702-5185 | 2006-08-31 |
| 1295747863 | Watson Orthopaedics LLC | Orthopaedic Surgery | 320 E Carpenter St, Suite 1a, Springfield, IL 62702-5185 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
| 1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
| 1376908913 | Abdul Hannan | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702 | 2015-12-28 |
| 1871986414 | Rachel Hoselton | Nurse Practitioner | 400 N 9th St Fl 4, Springfield, IL 62702 | 2015-03-06 |
| 1548697774 | Alyssa Wilson | Behavioral Analyst | 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 | 2013-10-02 |
| 1174965446 | Amy Wilson | Speech-Language Pathologist | 2120 West Washington Street, Springfield, IL 62702 | 2013-07-26 |
| 1275898116 | Pele Boutrous Dina | Pediatrics | 415 N 9th St # 4w16, Springfield, IL 62702 | 2012-07-06 |
| 1427327733 | Brook D Croke | Genetic Counselor, MS | 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 | 2011-12-16 |
| 1629352604 | Renae M Sanchez | Pharmacist | 3216 East Clearlake Ave, Springfield, IL 62702 | 2011-10-07 |
| 1982915302 | William Leland Zelkovich | Radiology | 701 N 1st, Springfield, IL 62702 | 2010-06-30 |
| Find all providers in zip 62702 | ||||
| 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 |
|---|---|---|---|---|
| 1467051516 | Kangjun Lee | Specialist/Technologist | 901 S. National Ave., Springfield, MO 65897 | 2020-10-20 |
| 1740806413 | Megan Herter | Specialist/Technologist | 1513 Old Ivy Dr, Springfield, IL 62711-8156 | 2020-06-18 |
| 1124649702 | Bridget Fenger | Specialist/Technologist | 521 W Central St, Springfield, MN 56087-1213 | 2020-05-05 |
| 1598302846 | Tamanna Kazi | Specialist/Technologist | 6746 Metropolitan Center Dr Apt 204, Springfield, VA 22150-4582 | 2019-12-05 |
| 1861035172 | Kory Matthew Kasper | Specialist/Technologist | 117 N Pittsburg Lndg, Springfield, IL 62711-8208 | 2019-10-21 |
| 1760037691 | Lauren Potter | Specialist/Technologist | 607 Highland Rd, Springfield, VT 05156-8844 | 2019-08-07 |
| 1033763271 | Ariana Nicole Hetland-purna | Specialist/Technologist | 1045 Grand St (art Annex Building), Springfield, MO 65897-0001 | 2019-07-25 |
| 1962968867 | Chad Michael Linck | Specialist/Technologist | 2125 N Glenstone Ave, Springfield, MO 65802 | 2019-02-15 |
| 1669938080 | Corey Michael Ratsch | Specialist/Technologist | 1116 E Cherry St Rm 300, Springfield, MO 65807-1517 | 2019-02-11 |
| 1164987640 | Emilee Pierce | Specialist/Technologist | 2015 W University St Apt E212, Springfield, MO 65807-7890 | 2019-02-08 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62702 |
Please comment or provide details below to improve the information on MR. KYLE MICHAEL 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.