Rebecca Lee Johnson

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

289411 Issued in AZ

Practice address

1634 S Regina Cleri Dr
Tucson, AZ 85710-8660

Phone

(605) 545-1944

NPI assigned

Jan 4, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Rebecca Lee Ricketts Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1871363515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1634 S REGINA CLERI DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857108660",
            "telephone_number": "605-545-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 S REGINA CLERI DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857108660",
            "telephone_number": "605-545-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "REBECCA",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "289411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "RICKETTS",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nathaniel Reagor Johnson, M.D.
• Nichol Johnson
• Norman Edward Johnson, PA-C
• Ramona Johnson
• Randal Lee Johnson, O.D.
• Rebekah Linde Johnson, PT
• Renee M Johnson, LCSW
• Richard Hillsman Johnson Jr., MD
• Richard W Johnson, M.D.
• Robert K Johnson, M.D.

• Registered Nurse in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.