MS. REBECCA RAE JOHNSON (NPI# 1770600629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770600629 |
| Entity Type | Individual |
| Full Name | MS. REBECCA RAE JOHNSON |
| Credential | MA, ATC,CSCS |
| Practice Address |
2700 Evergreen Pkwy Nw Olympia WA 98505-0001 |
| Mailing Address |
7035 Lazy Ct Sw Tumwater WA 98512-7410 |
| Practice Telephone | 3608676587 |
| Mailing Telephone | 4082303023 |
| Enumeration Date | 2007-03-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356958011 | Rebecca Albertha Johnson | Technician | 924 S Raleigh St, Martinsburg, WV 25401-3119 | 2020-09-28 |
| 1689282840 | Rebecca Johnson | Nurse Practitioner | 482 W 50 N Ste 14, American Fork, UT 84003-2266 | 2020-07-14 |
| 1871011536 | Rebecca Suzanna Johnson | Speech-Language Pathologist | 2605 Murray Ave, Tifton, GA 31794-2822 | 2017-09-01 |
| 1699128108 | Rebecca Renee Johnson | Acupuncturist | 2866 El Cajon Blvd, San Diego, CA 92104-1226 | 2016-07-20 |
| 1295189579 | Rebecca Johnson | Counselor | 1216 Sw 4th St Ste 5, Cape Coral, FL 33991-2129 | 2016-04-22 |
| 1336505676 | Rebecca Mae Johnson | Specialist/Technologist | 8214 Elm Ln, Elm Lane, Chesapeake Beach, MD 20732-3018 | 2015-12-31 |
| 1043626872 | Rebecca Johnson | Counselor | 12645 La Barr Meadows Rd, Grass Valley, CA 95949-7719 | 2014-07-01 |
| 1609296862 | Rebecca Johnson | Physical Therapist | 2810 Frank Scott Pkwy W Ste 824, Belleville, IL 62223-5007 | 2014-04-25 |
| 1396182069 | Rebecca Carol Johnson | Community Health Worker | 311 West Main St, Canton, OK 73724 | 2013-06-04 |
| 1366793002 | Rebecca Ely Johnson | Registered Nurse | 1508 3rd Ave. East, Big Stone Gap, VA 24219 | 2012-09-20 |
| Street Address |
2700 EVERGREEN PKWY NW |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98505-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104134923 | Susan Estelle Camp | Registered Nurse | 2700 Evergreen Pkwy Nw, Seminar 1-2110, Olympia, WA 98505-0001 | 2010-09-14 |
| 1144499682 | Kathleen Ann O'connor | Preventive Medicine | 2700 Evergreen Pkwy Nw, Sem I, 2110, Olympia, WA 98505-0005 | 2008-02-28 |
| 1114195898 | The Evergreen State College | Clinic/Center | 2700 Evergreen Pkwy Nw, Seminar 1 2110, Olympia, WA 98505-0005 | 2008-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841590502 | Barbara Ann Krulich | Physician Assistant | 2700 Evergreen Parkway Nw, Seminar I 2100, Olympia, WA 98505 | 2010-10-28 |
| 1447568563 | Polly Kay Taylor | Nurse Practitioner | 2700 Evergreen Parkway Nw, Sem 1, Room 2110, The Evergreen Sate College Student Health Center, Olympia, WA 98505 | 2010-09-23 |
| 1811370307 | Jared Vedros | Emergency Medicine | 786 D St, Anchorage, AK 98505 | 2015-07-02 |
| 1740246602 | Janine R Morrell | Nurse Practitioner | 315 Mlk Jr Way, Ms Z0 Ntl, Tacoma, WA 98505 | 2006-04-20 |
| 1609494830 | Madison Samantha Johnson | Counselor | The Evergreen State College 2700 Evergreen Parkway Nw, Olympia, WA 98505-0001 | 2020-07-14 |
| 1710504972 | Ryan Erickson | Counselor | 2700 Evergreen Pkwy Nw Bldg I2731, Olympia, WA 98505-0001 | 2020-07-02 |
| 1619285368 | Elizabeth R Mchugh | Physician Assistant | The Evergreen State College, Seminar 1 Rm 2110, Olympia, WA 98505-0001 | 2010-09-15 |
| 1770511438 | Mark S Peckler | Urology | 3525 Ensign Rd., Suite A, Olympia, WA 98505-0001 | 2006-06-29 |
| 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 |
|---|---|---|---|---|
| 1811541998 | Melissa Ward | Specialist/Technologist | 2233 25th Ln Ne, Olympia, WA 98506-3564 | 2019-07-28 |
| 1982119608 | Britni Jean Wilson | Specialist/Technologist | 2723 46th Ave Nw, Olympia, WA 98502-3010 | 2017-12-04 |
| 1013436484 | Marissa E Ang | Specialist/Technologist | 1110 Northcote St Nw, Olympia, WA 98502-4457 | 2017-09-16 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1548645963 | Amethyst Shepherd | Specialist/Technologist | 6120 Mullen Rd Se, Olympia, WA 98503-7147 | 2015-07-27 |
| 1376952085 | Amy Nicole Garrison | Specialist/Technologist | 2521 Conger Ave Nw, Olympia, WA 98502-4508 | 2014-08-06 |
| 1053687350 | Taelar A Shelton | Specialist/Technologist | 3010 Amhurst St Se, Olympia, WA 98501-5994 | 2012-03-30 |
| 1962530410 | Walter Theodore Putvin | Specialist/Technologist | 1828 Bigelow Ave Ne, Olympia, WA 98506-4604 | 2007-02-28 |
| 1982732376 | Janai Lynn Roberts | Specialist/Technologist | 4333 Cooper Point Rd Nw, Olympia, WA 98502-3613 | 2007-02-28 |
| 1578652558 | Abba M Delker | Specialist/Technologist | 404 Yauger Way Sw Ste 100, Olympia, WA 98502-8152 | 2006-10-11 |
| Find all providers in OLYMPIA | ||||
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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.