Kiarrah Takiyah Johnson, ATC
Specialist/Technologist, Athletic Trainer in Galloway, NJ. Individual provider (NPI-1).
NPI number1457028086
StatusActive
Last updated in NPPESNov 25, 2023
Details
- NPI
- 1457028086
- Entity type
- Individual (NPI-1)
- Name
- Kiarrah Takiyah Johnson
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 23, 2021
- Certification date
- Nov 25, 2023
- Last updated
- Nov 25, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 25MT00323600 | NJ | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
23 S Canary WayGalloway, NJ 08205-6208
Phone 609-204-6599
Mailing address
23 S Canary WayGalloway, NJ 08205-6208
Phone 609-204-6599
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Athletic Trainer providers in Galloway, NJ
- Cassandra Marie Dennis, ATC, LATNPI 1780486449
- Kendall Lauren FuettererNPI 1063320687
- Jessica Pearl Spencer Bond, MA, ATCNPI 1538428263
- Kathleen WallsNPI 1962239939
All 5 Athletic Trainer providers in Galloway · All 692 providers in Galloway
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.