JADE TAYLIR JOHNSON ATC
NPI 1073083457
Preventive Medicine - Sports Medicine in Wayne, NE

Active since November 28, 2018

NPPES record last updated: November 28, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jade Taylir Johnson Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JADE TAYLIR JOHNSON ATC (NPI 1073083457) is an individual sports medicine provider in Wayne, Nebraska, licensed in Nebraska (777) and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1073083457
Entity TypeIndividualFemale
Primary Taxonomy2083S0010X
Provider Legal NameJADE TAYLIR JOHNSONCredential: ATC
Location Address1111 MAIN STWayne, NE 68787-1181
Mailing Address521 E 6th StWayne, NE 68787-2210 · (715) 566-3288
Sole ProprietorNo
Enumeration DateNovember 28, 2018
NPI 1073083457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPreventive Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083S0010X
License Licensed in NE · 777
Definition

A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.

Also ListedPhysical Medicine & Rehabilitation · Sports MedicineTaxonomy 2081S0010X · License 777 (NE)
1111 MAIN ST, Wayne, NE 68787

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1111 MAIN ST
WAYNE, NE 68787
Student in an Organized Health Care Education/Training Program
1111 MAIN ST
WAYNE, NE 68787
Student in an Organized Health Care Education/Training Program
1111 MAIN ST
WAYNE, NE 68787
Student in an Organized Health Care Education/Training Program
1111 MAIN ST
WAYNE, NE 68787
Student in an Organized Health Care Education/Training Program
1111 MAIN ST
WAYNE, NE 68787
Specialist/Technologist (Athletic Trainer)
1111 MAIN ST
WAYNE, NE 68787
Chore Provider
1111 MAIN ST
WAYNE, NE 68787
Emergency Medicine (Sports Medicine)
1111 MAIN ST
WAYNE, NE 68787

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jade Johnson's NPI number?

The NPI number for Jade Johnson is 1073083457. It was assigned to this individual provider in the NPPES registry on November 28, 2018.

Where is Jade Johnson located?

Jade Johnson practices at 1111 Main St, Wayne, NE 68787. The listed phone number is (402) 375-7162.

What is Jade Johnson's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Sports Medicine, with taxonomy code 2083S0010X.

When was this NPI record last updated?

The NPPES record for Jade Johnson was last updated on November 28, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.