NPI age
2 years
Enumerated 2023-10-30
● Active
Type 1 · Individual
MacKenzie Johnson
Johnson is 1 of 1 specialist/technologist providers in Idaho Falls and 1 of 10 in Idaho.
Primary specialty
Specialist/Technologist
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2023-10-30
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 10 active specialist/technologist providers in Idaho.
NPI age
2 years
≈ at median (2 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
0% of peers hold subspecialties
NPI lifetime · 2023 → 2026
2023-10Enumerated in NPPES
2023
2026
Where they practice
Practice location
13816 N 65th E
Idaho Falls, ID 834015319
Mailing address
13816 N 65th E
Idaho Falls, ID 834015319
Specialties
-
Specialist/Technologist PrimaryDefinition to come...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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