JADE TAYLIR JOHNSON (NPI# 1073083457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073083457 |
| Entity Type | Individual |
| Full Name | JADE TAYLIR JOHNSON |
| Credential | ATC |
| Practice Address |
1111 Main St Wayne NE 68787-1181 |
| Mailing Address |
521 E 6th St Wayne NE 68787-2210 |
| Practice Telephone | 4023757162 |
| Mailing Telephone | 7155663288 |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2018-11-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
777 | NE | Allopathic & Osteopathic Physicians |
| Y | 2083S0010X |
Preventive Medicine Specialization: Sports Medicine |
777 | NE | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174138291 | Jade A Johnson | Counselor | 8100 Three Chopt Rd Rm 143, Henrico, VA 23229-4833 | 2020-09-15 |
| 1528615606 | Jade Adriana Johnson | Dentist | 312 E Renfro St Ste 204, Burleson, TX 76028-3949 | 2019-08-22 |
| 1962058008 | Jade Johnson | Physical Therapy Assistant | 3050 Woodmont Ave, Winter Haven, FL 33884-3800 | 2019-08-14 |
| 1295291458 | Jade Johnson | Behavior Technician | 12222 S 1000 E Ste 3, Draper, UT 84020-3203 | 2019-02-13 |
| 1518478064 | Jade D Johnson | Social Worker | 6701 Highway 67, Benton, AR 72015-8909 | 2017-10-23 |
| 1356753305 | Jade Alexandria Johnson | Counselor | 348 13th St, Suite 503, Brooklyn, NY 11215-6177 | 2014-05-27 |
| 1053626077 | Jade Johnson | Counselor | 607 E 200 S, Salt Lake City, UT 84102-2110 | 2010-08-13 |
| Street Address |
1111 MAIN ST |
| City | WAYNE |
| State | NE |
| Zip Code | 68787-1181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508831736 | Greg W Seier | Specialist/Technologist | 1111 Main St, Wayne, NE 68787-1181 | 2006-02-21 |
| 1750356952 | Kristi R Hinnerichs | Specialist/Technologist | 1111 Main St, Wayne, NE 68787-1181 | 2006-02-21 |
| 1699740803 | Mark Thomas Schoenfelder | Specialist/Technologist | 1111 Main St, Wildcat Sports Medicine Center, Wayne, NE 68787-1181 | 2006-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396209623 | Pearl Street Counseling, LLC | Counselor | 421 N Pearl Street, Wayne, NE 68787 | 2019-01-31 |
| 1760883367 | Northeast Nebraska Public Health Department | Public Health or Welfare | 215 Pearl Street, Wayne, NE 68787 | 2014-09-15 |
| 1942419353 | Muffin Elaine Morris | Specialist/Technologist | 11 11 Main Street, Wayne State College, Wayne, NE 68787 | 2007-05-22 |
| 1801952601 | Craig W Braun | Dentist | 206 E 7th St, Wayne, NE 68787 | 2006-12-28 |
| 1124120464 | Robert Kevin Krugman | Chiropractor | 214 Pearl Street, Wayne, NE 68787 | 2006-09-05 |
| 1659722908 | Michele Albers | Physical Therapist | 1200 Providence Road, Wayne, NE 68787 | 2016-06-28 |
| 1730599762 | Angela Mclaughlin | Family Medicine | 615 E 14th St, Wayne, NE 68787 | 2014-04-29 |
| 1083977474 | Amy Joan Bowers | Physical Therapist | 1200 Providence Rd, Wayne, NE 68787 | 2012-06-20 |
| 1205195831 | Michelle Theis | Occupational Therapist | 1200 Providence Rd, Wayne, NE 68787 | 2012-05-16 |
| 1649568775 | Grace Counseling Services | Community/Behavioral Health | 111 Main Street, Wayne, NE 68787 | 2011-07-11 |
| Find all providers in zip 68787 | ||||
| Taxonomy Code | 2083S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Sports Medicine |
| A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Preventive Medicine. |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.