Active NPIIndividual providerSole proprietor

Miss Kierston A Johnson, MS, LAT, ATC

Specialist/Technologist, Athletic Trainer in Mays Landing, New Jersey

NPI Number1346069648
Practice location
1875 Malaga RD, Mays Landing, NJ 08330-4114
Fax
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Last updated
October 4, 2024

Kierston Alexis Johnson is a Specialist/Technologist, Athletic Trainer based in Mays Landing, NJ. Kierston Alexis Johnson practices in Mays Landing, NJ and has the professional credentials of MS, LAT, ATC. The NPI Number for Kierston Alexis Johnson is 1346069648 and holds a License No. 25MT00331800 (NJ). The current practice location address for Kierston Alexis Johnson is 1875 Malaga RD, Mays Landing, NJ 08330-4114 and can be reached out via phone at 609-892-6615.

Provider Profile Details

NPI Number
1346069648
Provider Name
Kierston Alexis Johnson
Credential
MS, LAT, ATC
Provider Entity Type
Individual
Gender
Female
Address
1875 Malaga RD, Mays Landing, NJ 08330-4114
Phone Number
609-892-6615
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
October 4, 2024
Last Update Date
October 4, 2024
Certification Date
October 4, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1875 Malaga RD
Mays Landing, NJ 08330-4114
Zip
08330-4114
Phone Number
609-892-6615
Mays Landing, NJ 08330Get directions →

Provider Business Mailing Address Details

Address
1875 Malaga RD
Mays Landing, NJ 08330-4114
City
Mays Landing
State
NJ
Zip
08330-4114
Phone Number
609-892-6615

License Information

License Number
25MT00331800
License State
NJ
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Miss Kierston A Johnson, MS, LAT, ATC?

The NPI number of Miss Kierston A Johnson, MS, LAT, ATC is 1346069648. It was assigned on October 4, 2024 and is currently active in the NPPES registry.

What is the specialty of Miss Kierston A Johnson, MS, LAT, ATC?

Miss Kierston A Johnson, MS, LAT, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number 25MT00331800.

Where does Miss Kierston A Johnson, MS, LAT, ATC practice?

The practice location is 1875 Malaga RD, Mays Landing, NJ 08330-4114. The office can be reached at 609-892-6615 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1346069648 directly on the NPPES registry website.

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