MRS. REBECA C JOHNSON (NPI# 1295091080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295091080 |
| Entity Type | Individual |
| Full Name | MRS. REBECA C JOHNSON |
| Credential | LMP |
| Practice Address |
11015 Ne 4th Plain Suite B Vancouver WA 98664 |
| Practice Telephone | 3608920451 |
| Practice Fax Number | 3608921601 |
| Mailing Telephone | 3608920451 |
| Mailing Fax Number | 3608921601 |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2012-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA 60249677 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | WASHINGTON STATE LICENSE | MA 60246977 | 01 |
| Street Address |
11015 NE 4TH PLAIN SUITE B |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249938 | Angelica Maria Parle-fresquez | Speech-Language Pathologist | Early Childhood Assessment Center - Lieser School, 301 S. Lieser Rd, Vancouver, WA 98664 | 2020-09-10 |
| 1467923441 | Elizabeth Steen | Counselor | 230 E. State St., Mossyrock, WA 98664 | 2018-12-17 |
| 1497241657 | Chelsey Nicole Parker | Peer Specialist | 9815 Ne 3rd St, Vancouver, WA 98664 | 2018-07-10 |
| 1881145431 | Brent Homan | Occupational Therapist | 807 Se Morgan Rd., Vancouver, WA 98664 | 2016-10-19 |
| 1114474277 | Rebecca Marie Stefan | Nurse's Aide | 10025 Ne 19th St, Vancouver, WA 98664 | 2016-09-07 |
| 1528454105 | Alicia Ford | Dietitian, Registered | 700 Ne 87th Ave Ste 280, Vancouver, WA 98664 | 2015-04-10 |
| 1033504261 | Reid Roberts Bennett | Anesthesiology | 505 Ne 87th Ave Ste 210, Vancouver, WA 98664 | 2015-04-03 |
| 1235550856 | Nikolay Nikolaevich Chernukhin Jr. | Chiropractor | 221-a Ne 104th Ave, Suite 205, Vancouver, WA 98664 | 2013-12-27 |
| 1013278712 | Serena Harker | Physical Therapy Assistant | 221a Ne 104th Ave, Suite #205, Vancouver, WA 98664 | 2012-05-30 |
| 1669746780 | Iheke O Ekeya | Pharmacist | Peacehealth Sw Medical Center, 400 Ne Mother Joseph Pl, Vancouver, WA 98664 | 2012-03-07 |
| Find all providers in zip 98664 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558743 | Erin Claire Stafford | Massage Therapist | 709 Nw 120th St, Vancouver, WA 98685-2495 | 2020-11-03 |
| 1225650112 | Zachary Dodds | Massage Therapist | 12314 Nw 42nd Ct, Vancouver, WA 98685 | 2020-05-13 |
| 1205469871 | Gary James Wartella II | Massage Therapist | 21201 Ne 58th St Unit 1, Vancouver, WA 98682-9660 | 2020-02-21 |
| 1114550126 | Alexander J Lindo | Massage Therapist | 2125 E 8th St, Vancouver, WA 98661-4301 | 2020-02-18 |
| 1659918472 | Mckenzi Roulette | Massage Therapist | 4000 Ne 109th Ave Unit 68, Vancouver, WA 98682-5718 | 2019-12-01 |
| 1487297313 | Rachel Ann Tudor | Massage Therapist | 9618 Ne Fourth Plain Blvd, Vancouver, WA 98662-6107 | 2019-10-23 |
| 1982245064 | Andrea Joy | Massage Therapist | 1401 Se 164th Ave Ste 130, Vancouver, WA 98683-9612 | 2019-09-30 |
| 1083265722 | Rob Elmer William Anderson | Massage Therapist | 6509 Ne 45th Way, Vancouver, WA 98661-2893 | 2019-09-24 |
| 1366092132 | Rooted Spruce Massage and Bodywork | Massage Therapist | 120 Ne 117th Ave Rm 8, Vancouver, WA 98684-5020 | 2019-09-13 |
| 1477106581 | Steven J Zerfing | Massage Therapist | 4903 Ne St James Rd Apt 30, Vancouver, WA 98663-1900 | 2019-07-17 |
| Find all providers in VANCOUVER | ||||
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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.