GABRIELLE JOHNSON (NPI# 1689211740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689211740 |
| Entity Type | Individual |
| Full Name | GABRIELLE JOHNSON |
| Other Name | GABRIELLE VAN NOORD |
| Credential | ATC |
| Practice Address |
18040 Sw Lower Boones Ferry Rd Tigard OR 97224-7258 |
| Mailing Address |
801 Green Valley Dr Newberg OR 97132-9133 |
| Practice Telephone | 5032977678 |
| Enumeration Date | 2019-12-06 |
| Last Update Date | 2019-12-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT-10165263 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902423213 | Gabrielle Michelle Johnson | Specialist/Technologist | 708 Worcester Ave, Middletown, DE 19709-8348 | 2020-07-02 |
| 1790301729 | Gabrielle Hannah Johnson | Social Worker | 501 Harrier Ct, Durham, NC 27713-7322 | 2020-06-25 |
| 1912558198 | Gabrielle Johnson | Licensed Vocational Nurse | 807 S 13th St, Copperas Cove, TX 76522-2713 | 2019-09-27 |
| 1619531621 | Gabrielle Sade Johnson | Student in an Organized Health Care Education/Training Program | 4900 Springs Ln Apt J, Norcross, GA 30092-4054 | 2019-04-24 |
| 1871013748 | Gabrielle Nicole Johnson | Registered Nurse | 6242 W. Arbor Ave, #111, Mesa, AZ 85206 | 2017-06-22 |
| 1033559273 | Gabrielle Anne Johnson | Counselor | 530 Rockland Rd Fl 1, Suite 100, Crystal Lake, IL 60014-4131 | 2013-07-02 |
| 1285953349 | Gabrielle Johnson | Social Worker | 8335 Office Park Dr, Douglasville, GA 30134-6937 | 2010-05-27 |
| 1588894125 | Gabrielle Johnson | Speech-Language Pathologist | 16 Sadler Way, Greenville, SC 29607-5913 | 2009-07-16 |
| 1023615879 | Gabrielle Johnson | Behavior Technician | 1550 Ne Williamson Blvd Ste 120, Bend, OR 97701-6091 | 2020-10-05 |
| 1811513021 | Gabrielle Chasen Johnson | Registered Nurse | 1000 S Fremont Ave, Alhambra, CA 91803-8800 | 2020-06-23 |
| Street Address |
18040 SW LOWER BOONES FERRY RD |
| City | TIGARD |
| State | OR |
| Zip Code | 97224-7258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952384430 | Pamela A. Devisser | Nurse Practitioner | 18040 Sw Lower Boones Ferry Rd, Suite 100, Tigard, OR 97224-7258 | 2005-11-29 |
| 1326588708 | Susan Kathleen Glinka | Psychologist | 18040 Sw Lower Boones Ferry Rd, Suite 304, Tigard, OR 97224-7258 | 2017-03-03 |
| 1720402472 | Providence Health & Services - Oregon | Internal Medicine | 18040 Sw Lower Boones Ferry Rd, Suite 204, Tigard, OR 97224-7259 | 2014-02-14 |
| 1689097131 | Providence Health & Services - Oregon | Internal Medicine | 18040 Sw Lower Boones Ferry Rd, Suite 204, Tigard, OR 97224-7259 | 2014-02-03 |
| 1790113405 | Providence Health & Services - Oregon | Clinic/Center | 18040 Sw Lower Boones Ferry Rd, Suite 100, Tigard, OR 97224-7259 | 2013-10-16 |
| 1669726345 | Deborah Ann Jones | Physical Therapist | 18040 Sw Lower Boones Ferry Rd, Tigard, OR 97224-7258 | 2012-11-02 |
| 1568749539 | Heather Leann Adair | Physician Assistant | 18040 Sw Lower Boones Ferry Rd, Suite 100, Tigard, OR 97224-7258 | 2011-11-04 |
| 1568756591 | Michael D Goodwin | Family Medicine | 18040 Sw Lower Boones Ferry Rd, Ste 100, Tigard, OR 97224-7258 | 2011-06-07 |
| 1245549724 | Providence Health & Services Oregon | Clinic/Center | 18040 Sw Lower Boones Ferry Rd, Suite 207, Tigard, OR 97224-7259 | 2010-09-30 |
| 1275842957 | Lisa Rose Lundin | Pharmacist | 18040 Sw Lower Boones Ferry Rd, Tigard, OR 97224-7258 | 2010-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154973139 | Katherine Raineri | Psychologist | 7213 Sw Hazel Fern Rd, Tigard, OR 97224 | 2019-07-10 |
| 1871064618 | Stacey A Wenzel | Speech-Language Pathologist | 17020 Sw Upper Boones Ferry Rd.,suite 201, Tigard, OR 97224 | 2018-12-05 |
| 1376010090 | Meredith Rae Brezinski | Physical Therapist | 18019 Sw Boones Ferry Road, Tigard, OR 97224 | 2018-10-31 |
| 1649759358 | Viktoriya A Chiliy | Behavior Technician | 15290 Sw Royalty Parkway, Tigard, OR 97224 | 2018-08-13 |
| 1609384866 | Rachel E King | Physical Therapist | 18040 Sw Lower Boones Ferry Rd Ste 200, Tigard, OR 97224 | 2018-01-22 |
| 1689190134 | Isabelle Cooper Klee Caballero | Speech-Language Pathologist | 17020 Sw Upper Boones Ferry Road Suite 201, Tigard, OR 97224 | 2017-08-16 |
| 1427573146 | Breanna M Sandefur | Behavior Technician | 15290 Sw Royalty Pkwy, Tigard, OR 97224 | 2017-08-03 |
| 1083141196 | Krista Espenship | Registered Nurse | 8032 Sw Ashford St, Tigard, OR 97224 | 2017-05-19 |
| 1275067928 | Emily Elizabeth Myers | Behavioral Analyst | 15290 Royalty Parkway, Tigard, OR 97224 | 2017-04-19 |
| 1235684937 | Melanie Salvador | Nurse Practitioner | 15352 Sw Oakmont Pl, Tigard, OR 97224 | 2016-08-23 |
| Find all providers in zip 97224 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134754633 | Zoey Louise Dahme | Specialist/Technologist | 9635 Sw 74th Ave, Tigard, OR 97223-9137 | 2020-03-05 |
| 1003113481 | Barbara Susan Dieringer | Specialist/Technologist | 13136 Sw Raptor Pl, Tigard, OR 97223-2872 | 2011-02-19 |
| 1043676042 | Courtney White | Specialist/Technologist | 7300 Sw Childs Rd, Suite B, Tigard, OR 97224-7772 | 2016-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083232847 | Bailey Michelle Allen | Specialist/Technologist | 3521 Ne 154th Ave, Portland, OR 97230-4677 | 2020-07-08 |
| 1699394585 | Jennifer Elizabeth O'sullivan | Specialist/Technologist | 1369 Monmouth St, Independence, OR 97351-1126 | 2020-04-10 |
| 1568097061 | Rob Gersky | Specialist/Technologist | 2712 Se 170th Ave, Portland, OR 97236-1215 | 2020-03-05 |
| 1891329884 | Johanna Claire Wilson | Specialist/Technologist | 222 Se 8th Ave # Hpc2, Hillsboro, OR 97123-4218 | 2020-02-27 |
| 1861025454 | Riley Elaine Beagle | Specialist/Technologist | 285 Nw Baltimore, Heppner, OR 97836 | 2020-02-21 |
| 1225661754 | Mikayla Jeppsen | Specialist/Technologist | 470 Michael Way, Aumsville, OR 97325-8930 | 2020-02-12 |
| 1386276061 | Lesley Castillo | Specialist/Technologist | 10384 Ne Evergreen Pkwy Apt 31, Hillsboro, OR 97124-7857 | 2020-02-10 |
| 1922630037 | Vanessa A Guerrero | Specialist/Technologist | 2219 Se 68th Ave # 410, Portland, OR 97215-4026 | 2020-02-06 |
| 1326670548 | Colin Michael Szabo Mulligan | Specialist/Technologist | 236 Kerr Administration Bldg, Corvallis, OR 97331-8578 | 2020-02-05 |
| 1184256562 | Emily Liska | Specialist/Technologist | 5 Crestfield Ct, Lake Oswego, OR 97035-2351 | 2020-02-04 |
| Find all providers with the same taxonomy | ||||
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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.