MRS. SAMANTHA MARIA JOHNSON (NPI# 1750880647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750880647 |
| Entity Type | Individual |
| Full Name | MRS. SAMANTHA MARIA JOHNSON |
| Other Name | SAMANTHA MARIA KENDALL |
| Credential | AT, ATC, NASM-CPT |
| Practice Address |
1300 Michigan St Ne Ste 200 Grand Rapids MI 49503-2029 |
| Practice Telephone | 6162678219 |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2018-02-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2601001073 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244101 | Samantha Johnson | Technician | 46 Brigadere Cir, Martinsburg, WV 25404-7006 | 2020-10-30 |
| 1235738816 | Samantha Nicole Johnson | Home Health Aide | 1785 State Route 28 Lot 421, Goshen, OH 45122-9339 | 2020-10-23 |
| 1780293696 | Samantha Jo Johnson | Dietitian, Registered | 2854 Greenbrier Rd, Green Bay, WI 54311-6528 | 2020-07-27 |
| 1124548201 | Samantha K Johnson | Chiropractor | 187 East Main, Ellsworth, WI 54011 | 2017-06-21 |
| 1649704990 | Samantha Ashley Johnson | Clinic/Center | 4750 Bryant Irvin Road N, Fort Worth, TX 76107 | 2017-04-13 |
| 1831647437 | Samantha Johnson | Nurse Practitioner | 450 E Harvard Ave, Denver, CO 80210 | 2016-09-13 |
| 1154778413 | Samantha Jo Johnson | Obstetrics & Gynecology | 232 Aldridge Ave, Summersville, WV 26651-1802 | 2016-05-17 |
| 1922466580 | Samantha Johnson | Dentist | 3719 Old Alabama Rd Ste 400-b, Johns Creek, GA 30022-8692 | 2016-02-10 |
| 1184052383 | Samantha Johnson | Speech-Language Pathologist | 250 Jaguar Trl, Ridgeland, SC 29936-5497 | 2013-10-24 |
| 1174879639 | Samantha Ann Johnson | Specialist | 422 100th St, 1st Floor, Brooklyn, NY 11209-8309 | 2012-08-01 |
| Street Address |
1300 MICHIGAN ST NE STE 200 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-2029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285633172 | Adam J Geller | Physician Assistant | 1300 Michigan St Ne Ste 200, Grand Rapids, MI 49503-2029 | 2005-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| 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 |
|---|---|---|---|---|
| 1720601818 | Sean Mandle | Specialist/Technologist | 213 Calkins Ave Se, Grand Rapids, MI 49506-1519 | 2020-05-22 |
| 1356806897 | Corey Joseph Strawser | Specialist/Technologist | 1531 Hillsboro Ave Se, Grand Rapids, MI 49546-9783 | 2019-02-08 |
| 1346704590 | Rachel Mae Smestad | Specialist/Technologist | 3360 Briggs Blvd Ne, Grand Rapids, MI 49525-2504 | 2019-01-22 |
| 1275023335 | Tyler Shear | Specialist/Technologist | 610 Maryland Ave Ne, Grand Rapids, MI 49505-6052 | 2018-05-15 |
| 1134626765 | Nathan Lutz | Specialist/Technologist | 2770 Knapp St Ne, Grand Rapids, MI 49525-4422 | 2018-04-10 |
| 1396252078 | Danielle K Brodberg | Specialist/Technologist | 2516 Normandy Dr Se Apt 302c, Grand Rapids, MI 49506-7947 | 2018-01-04 |
| 1396265294 | Brian Joseph William Killinger | Specialist/Technologist | 3860 Jupiter Ave, 160 Robinhood Dr Ne, Grand Rapids, MI 49525-4951 | 2017-06-21 |
| 1619404951 | Marcus Ribant | Specialist/Technologist | 18 Sunset Hills Ave Nw, Grand Rapids, MI 49534-5842 | 2017-05-17 |
| 1306397864 | John Bernal | Specialist/Technologist | 130 Fulton St W, #111, Grand Rapids, MI 49503-2682 | 2016-10-20 |
| 1588119127 | Jillian Kolster | Specialist/Technologist | 4820 Luxemburg St Se, Grand Rapids, MI 49546-3742 | 2016-08-24 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on MRS. SAMANTHA MARIA 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.