Active NPI
Grace Ann Johnston, ASN, RN
- Registered Nurse
- Auburn, WA
National Provider Identifier
1144666736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN60723010
- Practice address
- 202 N Division St
Auburn, WA 98001-4939 - Phone
- (253) 833-7711
- NPI assigned
- May 22, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 39433 | MT | |
| Registered Nurse | 163W00000X | RN60723010 | WA | Primary |
Addresses
Primary practice location
202 N Division St
Auburn, WA 98001-4939
Mailing address
2876 W Thorndale Loop
Coeur D Alene, ID 83815-8532
Phone (406) 390-5354
Other practice location 1
410 Windward Way
Kalispell, MT 59901-2680
Phone (406) 257-1336
Other practice location 2
131 S Division St
Spokane, WA 99202-1510
Phone (509) 838-4651
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39433 | MT | MD | Registered Nurse |
| RN60723010 | WA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Montana Mental Health Center | Past | Accepting new patients | |
| Frontier Behavioral Health | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Spokane, WA
- NPI 1861495327
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Missoula, MT
- NPI 1912079328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677542400000",
"number": "1144666736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2876 W THORNDALE LOOP",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838158532",
"telephone_number": "406-390-5354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 N DIVISION ST",
"city": "AUBURN",
"state": "WA",
"postal_code": "980014939",
"telephone_number": "253-833-7711"
}
],
"practiceLocations": [
{
"address_1": "410 Windward Way",
"address_purpose": "LOCATION",
"city": "Kalispell",
"state": "MT",
"postal_code": "599012680",
"country_code": "US",
"telephone_number": "406-257-1336",
"fax_number": "406-257-1353",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "131 S Division St",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992021510",
"country_code": "US",
"telephone_number": "509-838-4651",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSTON",
"first_name": "GRACE",
"middle_name": "ANN",
"credential": "ASN, RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-22",
"last_updated": "2023-02-28",
"certification_date": "2023-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MT",
"license": "39433",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN60723010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.