JADE TAYLIR JOHNSON ATC NPI 1073083457

NPI Information

  • NPI: 1073083457
  • Provider Name: JADE TAYLIR JOHNSON, ATC
  • Classification: Preventive Medicine - 2083S0010X
  • Specialization: Sports Medicine
  • Entity Type: Individual
  • Address: 1111 MAIN ST
    WAYNE, NE
    ZIP 68787
  • Phone: (402) 375-7162

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NPI Details

Jade Taylir Johnson, ATC is a sports medicine preventive medicine in Wayne, NE. The provider is a preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries. Jade Taylir Johnson, ATC NPI is 1073083457. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1111 MAIN ST
WAYNE, NE
ZIP 68787-181
Phone: (402) 375-7162

The enumeration date for this NPI number is 11/28/2018 and was last updated on 11/28/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12081S0010XPhysical Medicine & RehabilitationSports Medicine777NEBRASKANo
22083S0010XPreventive MedicineSports Medicine777NEBRASKAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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