Rebecca Grush Johnson, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

222785 Issued in NC

Practice address

711 New Leicester Hwy
Asheville, NC 28806-1048

Phone

(828) 253-3717

Fax

(828) 252-8072

NPI assigned

Nov 23, 2022

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

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Appalachian Mountain Community Health Centers

  dba Tallulah Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Robbinsville, NC
  • NPI 1780064832
  Medicare reassignment
• Appalachian Mountain Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Asheville, NC
  • NPI 1154701415
  NPD

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

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1720797202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100181",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292023141",
            "telephone_number": "828-202-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 NEW LEICESTER HWY",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288061048",
            "telephone_number": "828-253-3717",
            "fax_number": "828-252-8072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "REBECCA",
        "middle_name": "GRUSH",
        "name_prefix": "Mrs.",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-23",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "222785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Johnson
• Molly Johnson, MS/EDS, LPC, NCC
• Nicole Ann Johnson, LCSW
• Randall Divan Johnson, MD
• Raven Johnson, MSW, LCSW-A, LCAS-A
• Resa F. Johnson, DC, DACBN
• Richard Johnson, PH.D.
• Shanae Johnson
• Steven P Johnson, D.O.
• Tristan Woodall Johnson, SLP

• Pediatric Nurse Practitioner in Asheville, NC
• Providers in Asheville, NC by specialty
• Pediatric Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.

Verify at the official NPI Registry.