Jeffery L Johnson, PA
Jeffery L Johnson is a Physician Assistant provider (Physician Assistant) practicing in Eagle, ID, registered in the NPPES registry with NPI 1609887801 since 2006. The credential PA stands for Physician Assistant.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1609887801 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Jeffery L Johnson |
| Credential | PA |
| Sex | Male |
| Practice address | 3217 W BAVARIA STREET, Eagle, ID, 83616 |
| Phone | 2082391000 |
| Fax | 2082392136 |
| Enumeration date | 2006-08-11 |
| Last updated in NPPES | 2021-02-03 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | Primary | PA416 | ID |
PA — Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential
Copy-ready billing details
Provider: Jeffery Johnson, PA NPI: 1609887801 Taxonomy: 363A00000X (Physician Assistant) Address: 3217 W BAVARIA STREET, Eagle, ID, 83616
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1699721837 | Carrie Humphrey | Individual | Pediatrics Physician | Eagle, ID |
| 1295998862 | Daniela Grigore | Individual | Pediatrics Physician | Eagle, ID |
| 1629228978 | Talia Sierra | Individual | Physician Assistant | Eagle, ID |
Verify this record
Cross-check NPI 1609887801 against the authoritative CMS record: view Jeffery L Johnson on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-02-03.