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

Nicolle Johnson, ATC

Individual provider Community Health Worker · NPI 1952788515

Nicolle Johnson, ATC is a Community Health Worker in Kailua, Hawaii. Licensed in Hawaii. Registered with an NPI since 2015.

Licensed in
HI
In the registry since
2015
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

1546 Ulupii St
Kailua, HI 96734-4443
Phone: (502) 262-1668
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X · Licence AT-223 (HI)

Record details

NPI number1952788515
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorNo
NPI enumeratedMay 4, 2015
Last updated in NPPESMay 4, 2015
Mailing address1546 Ulupii St, Kailua, HI 96734-4443