Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902491541 Individual Practitioner Male Practitioner

Travis Q Johnson , LAC

Acupuncturist • Boise, ID

Professional Overview & Biography Verified Profile Summary

Travis Johnson, LAC is a registered healthcare professional specializing in Acupuncturist in Boise, ID. Practice services are available at 4304 W EMERALD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4304 W Emerald St

Boise, ID 837062039

Telephone 2086152537
Associated Practice Facility / Clinic
🏢 Locus Health Center Llc Facility NPI 1366058364

Specialty Benchmarks & Practice Insights

Comparative analytics for Acupuncturist in Boise, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 30.0 Yrs
Regional Practice Density
42 Specialists

Practicing in Boise, ID (119 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-12-16
Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

State License 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

State License 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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID State
AC61091662 (WA)
Commercial Insurance / Payer ID State
ACU-441 (ID)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Adam Janssen , LMT

Massage Therapist

NPI 1790645356

Licensed Massage Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location December 16, 2023

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

📍
Updated Business Mailing Address December 16, 2023

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

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

Acupuncturist (License #ACU-441 in ID)

NPI Profile Active March 05, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location March 05, 2021

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

📍
Updated Business Mailing Address March 05, 2021

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

👤
Provider Name / Credentials Updated March 05, 2021

Recorded as TRAVIS JOHNSON, LAC

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

Acupuncturist (License #AC61091662 in WA)

🟢
Initial NPI Registration & Enumeration March 05, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.