Active NPI
Rebecca Inez Johnson, A.N.P
- Family Nurse Practitioner
- Dillingham, AK
National Provider Identifier
1386834125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 901
- Practice address
- 6000 Kanakanak Road
S
Dillingham, AK 99576-0130 - Phone
- (907) 842-5201
- NPI assigned
- Jul 27, 2007
- Last updated
- Aug 15, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 901 | AK | Primary |
Addresses
Primary practice location
6000 Kanakanak Road
S
Dillingham, AK 99576-0130
Mailing address
PO Box 130
6000 Kanakanak Road
Dillingham, AK 99576-0130
Phone (907) 842-5201
Other names 1
- Rebecca Inez Bouker
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rbouker@direct.bbahc.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 901 | AK | MD | Physician Assistant |
Practice roles
Interoperability endpoints
- rbouker@direct.bbahc.org
- rijohnson@direct.bbahc.org
Organizations & group practices 21
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692057600000",
"number": "1386834125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 130",
"address_2": "6000 KANAKANAK ROAD",
"city": "DILLINGHAM",
"state": "AK",
"postal_code": "995760130",
"telephone_number": "907-842-5201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 KANAKANAK ROAD",
"address_2": "S",
"city": "DILLINGHAM",
"state": "AK",
"postal_code": "995760130",
"telephone_number": "907-842-5201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "REBECCA",
"middle_name": "INEZ",
"name_prefix": "Ms.",
"credential": "A.N.P",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-27",
"last_updated": "2023-08-15",
"certification_date": "2021-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AK",
"license": "901",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rbouker@direct.bbahc.org",
"affiliation": "N",
"address_1": "6000 Kanakanak Road",
"address_2": "S",
"city": "Dillingham",
"state": "AK",
"country_code": "US",
"postal_code": "995760130",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "BOUKER",
"middle_name": "INEZ",
"credential": "ANP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Dillingham, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.