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

Samara Daeva Joy Johnson, ATC

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1225673551

Samara Daeva Joy Johnson, ATC is a Student in an Organized Health Care Education/Training Program in Churchville, New York. Licensed in South Carolina. Registered with an NPI since 2019.

Licensed in
SC
In the registry since
2019
Specialties on file
2
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

15 Royce Dr
Churchville, NY 14428-8900
Phone: (716) 986-3193
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2773 (SC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1225673551
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorNo
NPI enumeratedNovember 11, 2019
Last updated in NPPESJuly 10, 2020
Certification dateJuly 10, 2020

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