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Travis Q Johnson , LAC

Acupuncturist β€’ Boise, ID

Active NPI 1902491541 Individual Practitioner Male Practitioner
Practice location in NPPES

4304 W Emerald St
Boise, ID 837062039

Call 2086152537 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4304 W Emerald St

Boise, ID 837062039

Telephone 2086152537
Organization at the Same NPPES Address or Phone
Locus Health Center Llc Facility NPI 1366058364

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Boise and Idaho

42 active clinicians are listed under Acupuncturist with a practice address in Boise, ID (116 in Idaho).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Boise

0% of these 42 clinicians have the CMS telehealth indicator.

0% of these 42 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-12-16
Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

License # reported to NPPES ID ACU-441

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Acupuncturist

NUCC Taxonomy Code: 171100000X

License # reported to NPPES WA AC61091662

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Idaho State Medical Licensing Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier State
AC61091662 (WA)
Other Identifier State
ACU-441 (ID)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location December 16, 2023

Registered at 4304 W EMERALD ST, BOISE, ID 837062039 (Tel: 2086152537)

πŸ“
Updated Business Mailing Address December 16, 2023

Registered at 4304 W EMERALD ST, BOISE, ID 837062039 (Tel: 2086152537)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2023

Acupuncturist (license number reported to NPPES: ID ACU-441)

βœ…
NPI Profile Active March 05, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 05, 2021

Registered at 4915 25TH AVE NE STE 104, SEATTLE, WA 981058667 (Tel: 2063157998)

πŸ“
Business Mailing Address (Initial Record) March 05, 2021

Registered at 4915 25TH AVE NE STE 104, SEATTLE, WA 981058667 (Tel: 2063157998)

πŸ‘€
Provider Name / Credentials (Initial Record) March 05, 2021

Recorded as TRAVIS JOHNSON, LAC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2021

Acupuncturist (license number reported to NPPES: WA AC61091662)

🟒
Initial NPI Registration & Enumeration March 05, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1902491541
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 05, 2021
Last Update: December 16, 2023
Sole Proprietor: Yes

Mailing Address

4304 W Emerald St

Boise, ID 837062039

Phone: 2086152537

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.