NPI age
18 years
Enumerated 2008-10-09
● Active
Type 1 · Individual
Mrs. Annie Johnson, PA-C
Johnson is 1 of 4 medical (physician assistant) providers in Kuna and 1 of 400 in Idaho.
Primary specialty
Medical (Physician Assistant)
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2010-12-01
Source: CMS NPPES provider record
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 400 active medical (physician assistant) providers in Idaho.
NPI age
18 years
↑ 2 yr above median (16 yr)
State licenses
1 state
20% of peers hold multiple states
Subspecialties
0
29% of peers hold subspecialties
NPI lifetime · 2008 → 2010
2008-10Enumerated in NPPES
2008
2010
Where they practice
Practice location
708 E Wythe Creek Ct Ste 103
Kuna, ID 836345005
Mailing address
Po Box 68
Kuna, ID 836340068
Specialties
-
Physician Assistant PrimaryCMS NPPES uses NUCC taxonomy code 363AM0700X for provider records classified as Medical within Physician Assistant. The taxonomy identifies the category reported on the NPI record; it does not by itself verify services offered, current...
Practice context
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 400 Medical (Physician Assistant) providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.