Individual provider Active NPI

Alexis Johnson, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Spanaway, WA
National Provider Identifier
1063251106
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61662016 Issued in WA
Practice address
201 160TH St S Ste 102
Spanaway, WA 98387-8508
Phone
(253) 215-5511
NPI assigned
May 20, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61662016 WA Primary

Addresses

Primary practice location

201 160TH St S Ste 102
Spanaway, WA 98387-8508

Mailing address

16614 23Rd Avenue CT E
Tacoma, WA 98445-4535
Phone (253) 320-0224

Other practice location 1

9329 Martin Way E Ste N
Olympia, WA 98516-5738
Phone (360) 870-8536

Other names 1

  • Ms. Alexis Norwood Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251204004694 WA Practitioner - Nurse Practitioner 8426541657 Practice locations: Spanaway, WA

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16614 23Rd Ave CT E
Tacoma, WA 98445-4535

201 160TH St S
Suite 102
Spanaway, WA 98387-8508
Phone (253) 215-5511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP61662016WAMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1063251106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16614 23RD AVENUE CT E",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984454535",
            "telephone_number": "253-320-0224",
            "fax_number": "253-366-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 160TH ST S STE 102",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983878508",
            "telephone_number": "253-215-5511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9329 Martin Way E Ste N",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985165738",
            "country_code": "US",
            "telephone_number": "360-870-8536",
            "fax_number": "253-366-7432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ALEXIS",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-20",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61662016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "NORWOOD",
            "prefix": "MS.",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spanaway, WA

Sources for this page

Verify at the official NPI Registry.