Rebecca Ely Johnson, RN

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

0001065115 Issued in VA

Practice address

1508 3Rd Ave. East
Big Stone Gap, VA 24219

Phone

(276) 523-0599

Fax

(276) 523-4690

NPI assigned

Sep 20, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mountain Empire Older Citizens, Inc

  • PACE Provider Organization
  • Big Stone Gap, VA
  • NPI 1184807661
  NPD (past)
• Mountain Empire Older Citzens Pace

  • PACE Provider Organization
  • Big Stone Gap, VA
  • NPI 1881930055
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1366793002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 888",
            "city": "BIG STONE GAP",
            "state": "VA",
            "postal_code": "24219",
            "telephone_number": "276-523-0599",
            "fax_number": "276-523-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 3RD AVE. EAST",
            "city": "BIG STONE GAP",
            "state": "VA",
            "postal_code": "24219",
            "telephone_number": "276-523-0599",
            "fax_number": "276-523-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "REBECCA",
        "middle_name": "ELY",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-20",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "VA",
            "license": "0001065115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Lee Hollyfield
• Crystal L Hunnicutt, CRNA
• Intrepid of the Rolling Hills, Inc.
• Adrienne Ann Johnson, BS
• Jerelene Elizabeth Johnson
• Shandolyn Gail Johnson, BS
• Junction Center for Independent Living, Inc.
• K-VA-T Food Stores Inc
• James Dale Kegley, MS
• Gerald Bryan Kelley, D.D.S.

• Adult Psychiatric/Mental Health Registered Nurse in Big Stone Gap, VA
• Providers in Big Stone Gap, VA by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.