NPI Code Detail JSON Logo

1043781024 NPI number — JASON B JOHNSTONE CDP

NPI Number: 1043781024
Health Care Provider/Practitioner: JASON B JOHNSTONE CDP

Information about “1043781024” NPI (JASON B JOHNSTONE CDP) exists in 1043781024 in HTML format HTML  |  1043781024 in plain Text format TXT  |  1043781024 in PDF (Portable Document Format) PDF  |  1043781024 in an XML format XML  formats.

NPI Number : 1043781024 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1043781024",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JOHNSTONE",
    "FirstName": "JASON",
    "MiddleName": "B",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CDP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "13807 69TH AVENUE CT E",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PUYALLUP",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98373-8721",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "253-691-0398",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "10215 214TH AVE E",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BONNEY LAKE",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98391-3909",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "253-862-7374",
    "PracticeLocationAddressFaxNumber": "253-862-0448",
    "EnumerationDate": "12/17/2018",
    "LastUpdateDate": "12/17/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YA0400X",
        "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
        "LicenseNumber": "CP60288139",
        "LicenseNumberStateCode": "WA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.