Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Deidre Jenae Johnson, ATC, LAT

Individual provider Athletic Trainer · NPI 1912470089

MS. Deidre Jenae Johnson, ATC, LAT is an Athletic Trainer in Seattle, Washington. Works from 3 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2019
Specialties on file
3
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

515 3rd Ave
Seattle, WA 98104-2304
Phone: (206) 464-1570
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 13425 Se 30th St Ste 2c, Bellevue, WA 98005-4450 — (425) 800-4488
  • 15810 39th Pl S Apt B13, Tukwila, WA 98188-2657 — (206) 931-8776

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X (WA)
Athletic Trainer Taxonomy 2255A2300X · Licence A161196040 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1912470089
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC , LAT
Sole proprietorNo
NPI enumeratedJanuary 10, 2019
Last updated in NPPESMay 19, 2025
Certification dateMay 19, 2025

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