Nicole Johnson

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

335371 Issued in TX

Practice address

2322 196TH St SW
Lynnwood, WA 98036-7010

Phone

(425) 984-0788

NPI assigned

Aug 19, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1755561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1104703313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20043 FOREST PARK DR NE",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981551139",
            "telephone_number": "254-768-3870",
            "fax_number": "254-768-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2322 196TH ST SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980367010",
            "telephone_number": "425-984-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-19",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "335371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Germaine Richard Johnson, MD
• Jarod Wyatt Johnson
• Jeanne Brabant Johnson, RN, BSN
• Joan Marie Johnson, MA LMHC
• Marina Rose Johnson, ND, LAC
• Nicole Rebecca Liu Johnson, PSYD
• Richard Johnson
• Scott Allen Johnson
• Theresa Johnson
• Tyler Z Johnson

• Licensed Vocational Nurse in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Licensed Vocational Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.