Individual provider Active NPI

Steffi Miesha Johnson

  • Registered Nurse
  • Olympia, WA
National Provider Identifier
1053939579
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN60941865 Issued in WA
Practice address
6700 Martin Way E Ste 117
Olympia, WA 98516-5586
Phone
(206) 971-8830
NPI assigned
Jul 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60941865 WA Primary

Addresses

Primary practice location

6700 Martin Way E Ste 117
Olympia, WA 98516-5586

Mailing address

6700 Martin Way E Ste 117
Olympia, WA 98516-5586

Other practice location 1

33480 13th Pl S
Federal Way, WA 98003-6357
Phone (253) 285-7101

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address STEMJOHNSON@TELECARECORP.COM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN60941865WAMDRegistered Nurse

Interoperability endpoints

  • Direct secure messaging: stemjohnson@telecarecorp.com

NPI Registry JSON

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

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1053939579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 MARTIN WAY E STE 117",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985165586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 MARTIN WAY E STE 117",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985165586",
            "telephone_number": "206-971-8830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33480 13th Pl S",
            "address_purpose": "LOCATION",
            "city": "Federal Way",
            "state": "WA",
            "postal_code": "980036357",
            "country_code": "US",
            "telephone_number": "253-285-7101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STEFFI",
        "middle_name": "MIESHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-10",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60941865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "STEMJOHNSON@TELECARECORP.COM",
            "affiliation": "N",
            "endpointDescription": "WORK EMAIL",
            "address_1": "33480 13th Pl S",
            "city": "Federal Way",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980036357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.