Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Shad Carl Johnson, PA-C

Q: What is the NPI number for Shad Johnson?

The National Provider Identifier (NPI) for Shad Johnson is 1114028354, a Type 1 (individual) record in the CMS NPPES registry.

Medical Physician Assistant in Pocatello, ID · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114028354

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Registry record

Entity type Individual (Type 1)

Name Shad Carl Johnson

Credential PA-C

Sex Male

Practice address 1151 Hospital Way Bldg A, Pocatello, ID, 83201

Phone (208) 232-6616

Fax (208) 232-6618

Enumeration date Sep 26, 2006

Last updated in NPPES Jul 8, 2007

Taxonomy & licenses

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA-629 (ID) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Shad Johnson?

The National Provider Identifier (NPI) for Shad Johnson is 1114028354, a Type 1 (individual) record in the CMS NPPES registry.

Where does Shad Johnson practice?

The practice location on file with NPPES is in Pocatello, ID. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.