Active NPI
Johnny Edward Liner, NP
- Primary Care Nurse Practitioner
- Spokane Valley, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- AP60930259
- Practice address
- 16201 E Indiana Ave Ste 3260
Spokane Valley, WA 99216-2846 - Phone
- (509) 495-1810
- Fax
- (509) 505-0806
- NPI assigned
- May 27, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | AP141227 | TX | |
| Primary Care Nurse Practitioner | 363LP2300X | 65670 | ID | |
| Primary Care Nurse Practitioner | 363LP2300X | AP60930259 | WA | Primary |
Addresses
Primary practice location
16201 E Indiana Ave Ste 3260
Spokane Valley, WA 99216-2846
Mailing address
522 W Riverside Ave Ste 4115
Spokane, WA 99201-0580
Phone (509) 495-1810
Other practice location 1
505 E Foothills Dr
Spokane, WA 99207-2101
Phone (509) 838-4651
Other practice location 2
1401 N Calispel St
Spokane, WA 99201-2317
Phone (509) 838-4651
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190624003451 | WA | Practitioner - Nurse Practitioner | 3173857208 | Reassigns benefits to 2 organizations |
| I20211216000960 | TX | Practitioner - Nurse Practitioner | 3173857208 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Spokane Behavioral Health LLC
Practice addresses (Care Compare)
104 W 5TH Ave
Spokane, WA 99204-4820
Phone (623) 670-0840
104 W 5TH Ave
Attn Cfo
Spokane, WA 99204-4880
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65670 | ID | MD | Primary Care Nurse Practitioner |
| AP141227 | TX | MD | Primary Care Nurse Practitioner |
| AP60930259 | WA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atticus Health, PLLC | Current | Accepting new patients | |
| Spokane Behavioral Health LLC | Current | Accepting new patients | |
| Cerebral Medical Group, a Professional Corporation | Current | Accepting new patients | |
| Frontier Behavioral Health | Current | Accepting new patients |
Locations
340 S Lemon Ave
Ste 9892
Walnut, CA 91789
Phone (415) 617-9894
104 W 5th Ave
Spokane, WA 99204
Phone (509) 992-1888
505 E North Foothills Dr
Spokane, WA 99207
Phone (509) 325-5502
1401 N Calispel St
Spokane, WA 99201
Phone (406) 740-2150
107 S Division St
Spokane, WA 99202
Phone (509) 383-4651
522 W Riverside Ave
Ste 4115
Spokane, WA 99201
506 N Sullivan Rd
Ste F227
Spokane Valley, WA 99037
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Glendale, CA
- NPI 1992355879
TX
-
- Adult Medicine Physician
- Spokane Valley, WA
- NPI 1235712621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685664000000",
"number": "1124685045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "522 W RIVERSIDE AVE STE 4115",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992010580",
"telephone_number": "509-495-1810",
"fax_number": "509-505-0806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16201 E INDIANA AVE STE 3260",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992162846",
"telephone_number": "509-495-1810",
"fax_number": "509-505-0806"
}
],
"practiceLocations": [
{
"address_1": "505 E Foothills Dr",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992072101",
"country_code": "US",
"telephone_number": "509-838-4651",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1401 N Calispel St",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992012317",
"country_code": "US",
"telephone_number": "509-838-4651",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LINER",
"first_name": "JOHNNY",
"middle_name": "EDWARD",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-27",
"last_updated": "2023-06-02",
"certification_date": "2023-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "TX",
"license": "AP141227",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "ID",
"license": "65670",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "WA",
"license": "AP60930259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.