MR. MICHAEL COTTRELL JOHNSON (NPI# 1902440266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902440266 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL COTTRELL JOHNSON |
| Practice Address |
3812 W. Mercer Way Mercer Island WA 98040 |
| Mailing Address |
P.o. Box 994 Mercer Island WA 98040 |
| Practice Telephone | 2062328158 |
| Mailing Telephone | 2063759583 |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2019-10-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
10052933 | WA | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326655150 | Michael Johnson | Massage Therapist | 4344 Promenade Way Unit 304, Marina Del Rey, CA 90292-6293 | 2020-09-25 |
| 1184236648 | Michael L Johnson | Massage Therapist | 5 Skinner Ct, Tomkins Cove, NY 10986-1105 | 2020-08-17 |
| 1235772658 | Michael James Johnson | Driver | 173 S 197th Dr, Buckeye, AZ 85326-3069 | 2019-10-18 |
| 1992287130 | Michael Ray Johnson | Counselor | 900 Nw 31 Ave, Suite #2000, Ft Laud, FL 33311 | 2018-09-04 |
| 1932681715 | Michael Kenneth Johnson | Physician Assistant | 5399 Coachman Rd Apt E, Columbus, OH 43220-6270 | 2018-08-29 |
| 1538648860 | Michael Darnel Johnson Sr. | Counselor | 1705 Kinser Ct, Chesapeake, VA 23324-2332 | 2018-08-08 |
| 1821584988 | Michael Todd Johnson | Registered Nurse | 2137 W 70 S, Hurricane, UT 84737-2791 | 2018-07-02 |
| 1003313727 | Michael Olton Johnson | Physician Assistant | 11513 Merrick Blvd, Jamaica, NY 11434 | 2018-04-09 |
| 1578067336 | Michael Everett Johnson | Student in an Organized Health Care Education/Training Program | 1840 E Woodchase Dr, Baton Rouge, LA 70808-4000 | 2018-03-19 |
| 1790288447 | Michael Gabriel Johnson | Massage Therapist | 7405 Buttonwood Dr, Fort Worth, TX 76137-1308 | 2018-03-08 |
| Street Address |
3812 W. MERCER WAY |
| City | MERCER ISLAND |
| State | WA |
| Zip Code | 98040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881237048 | Lisa Catherine Stewart | Social Worker | Mental Health & Addiction Services, 401 Broadway, Seattle, WA 98040 | 2019-10-21 |
| 1023520665 | Aca Wa Group Corp | Massage Therapist | 7605 Se 27th St, Suite 103, Mercer Island, WA 98040 | 2017-11-03 |
| 1699211995 | Wei Fan | Acupuncturist | 7605 Se 27th Street, Suite 103, Mercer Island, WA 98040 | 2017-01-10 |
| 1346691953 | James M Blue | Neurological Surgery | 4882 Forest Ave S.e., Mercer Island, WA 98040 | 2016-06-24 |
| 1982058418 | Ray Johnson | Physician Assistant | 4446 88th Ave Se, Mercer Island, WA 98040 | 2016-04-21 |
| 1780072900 | The Emily Program PC | Psychiatric Residential Treatment Facility | 7275 N. Mercer Way, Mercer Island, WA 98040 | 2014-12-23 |
| 1609115641 | Richard Daifuku | Specialist | 9270 Se 36th Pl, Mercer Island, WA 98040 | 2013-02-12 |
| 1689937286 | Karin L. Miller | Social Worker | 9725 Se. 36 St. #301, Mercer Island, WA 98040 | 2012-06-19 |
| 1689947608 | Hector Cantu Aldape | Pathology | 7649 West Mercer Way, Mercer Island, WA 98040 | 2012-02-22 |
| 1255623526 | Lori F. Lombardo | Speech-Language Pathologist | 7600 S.e. 29th Street, Unit 404, Mercer Island, WA 98040 | 2011-05-05 |
| Find all providers in zip 98040 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028561 | Tracy Lee Janosik | Technician | 316 N 30th Ave, Yakima, WA 98902-2332 | 2020-09-20 |
| 1922613157 | Rosa Kohler | Technician | 7411 Mill Creek Rd, Walla Walla, WA 99362-8490 | 2020-09-14 |
| 1336754027 | Merry Louise Charbonneau | Technician | 928 E Nora Ave, Spokane, WA 99207-2458 | 2020-09-10 |
| 1619581584 | Luana Irene Hulsey | Technician | 3408 Boxwood Ave, Bellingham, WA 98225-8400 | 2020-09-08 |
| 1285246553 | Sheryl Ann Fisher | Technician | 4124 240th St E, Spanaway, WA 98387-7002 | 2020-08-18 |
| 1881205516 | Megan Marie Henderson | Technician | 1214 Lowry St, Moses Lake, WA 98837-3103 | 2020-08-14 |
| 1396360699 | Sheila Therese Mccool | Technician | 10121 Evergreen Way Ste 25179, Everett, WA 98204-3885 | 2020-06-11 |
| 1811511082 | Brent Sidney Stone | Technician | 200 Nw 148th St, Vancouver, WA 98685-5752 | 2020-06-03 |
| 1538781695 | Nikki L Coleman | Technician | 2125 W Pioneer, Puyallup, WA 98371-5265 | 2020-05-12 |
| 1134748668 | Kara Lee Mathwich | Technician | 904 N 1st St, Renton, WA 98057-5759 | 2020-04-14 |
| Find all providers with the same taxonomy | ||||
| City | MERCER ISLAND |
| Zip Code | 98040 |
Please comment or provide details below to improve the information on MR. MICHAEL COTTRELL 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.