JACOB JOHNSON (NPI# 1952811861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952811861 |
| Entity Type | Individual |
| Full Name | JACOB JOHNSON |
| Practice Address |
33610 Washington St Ne Cambridge MN 55008-9153 |
| Practice Telephone | 7632217190 |
| Mailing Telephone | 7632217190 |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2017-10-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588273999 | Jacob Johnson | Military Health Care Provider | 413 Salvo Ct, Holly Ridge, NC 28445-8609 | 2020-07-31 |
| 1952941148 | Jacob Johnson | Counselor | 815 K Street, Lincoln, NE 68508 | 2020-01-15 |
| 1952945354 | Jacob Johnson | Specialist | 3501 Forbes Ave Ste 932, Pittsburgh, PA 15213-3317 | 2019-10-30 |
| 1912568320 | Jacob Johnson | Specialist/Technologist | 116 Elmwood St, Dearborn, MI 48124-1424 | 2019-06-26 |
| 1982120895 | Jacob Lynn Johnson | Dentist | Bldg 1200, 149g W Hart St, Sheppard Afb, TX 76311-7631 | 2017-08-22 |
| 1083158554 | Jacob Johnson | Nurse Anesthetist, Certified Registered | 7105 Davis Grey Dr, Asheville, NC 28803-0208 | 2016-12-18 |
| 1174873723 | Jacob Darrell Johnson | Physical Therapist | 1515 North Center Street, Suite 5, Lonoke, AR 72086 | 2012-09-11 |
| 1962760124 | Jacob Daniel Johnson | Surgery | 15411 Park Village Blvd, Taylor, MI 48180-4886 | 2012-04-25 |
| 1457300477 | Jacob Johnson | Otolaryngology | 450 Sutter St Rm 933, Ste 933, San Francisco, CA 94108-3997 | 2006-05-08 |
| 1750998613 | Jacob Luke Johnson | Behavior Technician | 1520 Nutmeg Pl Ste 110, Costa Mesa, CA 92626-2557 | 2020-09-24 |
| Street Address |
33610 WASHINGTON ST NE |
| City | CAMBRIDGE |
| State | MN |
| Zip Code | 55008-9153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912475716 | B's Adult Day Center Inc | Clinic/Center | 626 Main Street North, Cambridge, MN 55008 | 2018-11-09 |
| 1538607494 | Katy Karas | Counselor | 3171 309 Ave Nw, Cambridge, MN 55008 | 2017-02-10 |
| 1295273944 | Amy Roell | Occupational Therapist | 701 S Dellwood Street, Mail Route 71000, Cambridge, MN 55008 | 2017-02-02 |
| 1689957888 | Minnesota Sedation Dental | Clinic/Center | 1596 2nd Ave Ne, Suite B, Cambridge, MN 55008 | 2011-09-23 |
| 1235424870 | Melanie Andree Furtney Christofferson | Obstetrics & Gynecology | 701 S. Dellwood St., Cambridge, MN 55008 | 2011-06-11 |
| 1962712638 | Joy Marie Morlock | Counselor | 32393 Rendova Circle Ne, Cambridge, MN 55008 | 2010-10-15 |
| 1386966166 | Stacie Mix | Massage Therapist | 807 Main St North, Cambridge, MN 55008 | 2010-02-22 |
| 1538491261 | Kristin Peltz | Massage Therapist | 807 Main St N, Cambridge, MN 55008 | 2010-02-05 |
| 1831324979 | Michelle Lynn Preuss Varsoke | Dietitian, Registered | 701 S Dellwood St, Cambridge, MN 55008 | 2009-05-19 |
| 1659590024 | Jennifer Ellen Norberg | Physical Therapist | 701 South Dellwood Street, Cambridge, MN 55008 | 2007-04-24 |
| Find all providers in zip 55008 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902411796 | Rachel Ann Neil | Specialist/Technologist | 67567 Barrett Hill Rd, Cambridge, OH 43725-9578 | 2020-09-09 |
| 1568015717 | Nena Burt | Specialist/Technologist | 1000 Opportunity Blvd S Apt 211, Cambridge, MN 55008-2804 | 2019-07-17 |
| 1710443965 | Kyle Taylor Lashley | Specialist/Technologist | 12514 Battle Ridge Rd, Cambridge, OH 43725-9692 | 2019-02-13 |
| 1760687180 | Thomas M Cronan | Specialist/Technologist | 77 Massachusetts Ave # W35-115, Cambridge, MA 02139-4301 | 2007-06-16 |
| 1841253960 | Amy Ralynn Gould | Specialist/Technologist | 10095 Brick Church Rd, Cambridge, OH 43725-8550 | 2006-04-10 |
| 1518929553 | Michelle Marie Kelly | Specialist/Technologist | 29 Everett St, Lesley University, Cambridge, MA 02138-2702 | 2006-04-05 |
| 1417922642 | Kathleen Ann Gruning | Specialist/Technologist | 80 Gerrys Landing, Cambridge, MA 02138-5512 | 2006-02-21 |
| 1659369007 | Kathy J. Davis | Specialist/Technologist | 77 Massachusetts Ave, W35-115, Cambridge, MA 02139-4301 | 2005-10-10 |
| 1821597378 | Breanna Nicole Richards | Specialist/Technologist | 65 N Harvard St, Cambridge, MA 02163-1010 | 2018-02-09 |
| 1881119238 | Abigael Joyce Yotts | Specialist/Technologist | 77 Massachusetts Ave, Cambridge, MA 02139-4301 | 2017-08-07 |
| Find all providers in CAMBRIDGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.