LESLIE JOHNSON ATC NPI 1053904078

NPI Information

  • NPI: 1053904078
  • Provider Name: LESLIE JOHNSON, ATC
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: 6207 KAMER CT
    CHARLESTOWN, IN
    ZIP 47111
  • Phone: (502) 810-7026

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NPI Details

Leslie Johnson, ATC is a student in an organized health care education training program in Charlestown, IN. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Leslie Johnson, ATC NPI is 1053904078. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6207 KAMER CT
CHARLESTOWN, IN
ZIP 47111-078
Phone: (502) 810-7026

The enumeration date for this NPI number is 2/20/2021 and was last updated on 2/20/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramKENTUCKYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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