Rebecca Rae Johnson, MA, ATC,CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

2700 Evergreen Pkwy NW
Olympia, WA 98505-0001

Phone

(360) 867-6587

NPI assigned

Mar 24, 2007

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

Master of Arts

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

{
    "created_epoch": "1174694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770600629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7035 LAZY CT SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127410",
            "telephone_number": "408-230-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 EVERGREEN PKWY NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985050001",
            "telephone_number": "360-867-6587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "REBECCA",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "MA, ATC,CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Johnson, RN
• Michelle Johnson
• Mollie Eileen Johnson, LMT
• Owen Johnson, MD
• Randelle Johnson, ARNP
• Robert Samuel Johnson, LMP
• Ryan Christopher Johnson, D.O.
• Shelly Lenae Johnson, MSW
• Steffi Miesha Johnson
• Theodore Martin Johnson, PH.D.

• Athletic Trainer in Olympia, WA
• Providers in Olympia, WA by specialty
• Athletic Trainer in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.