NPIMap

Organization Active NPI

Pathway Geriatrics PLLC

  • Primary Care Clinic/Center
  • Redmond, WA
National Provider Identifier
1154924207
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PATHWAY GERIATRICS PLLC
Practice address
8201 164TH Ave NE Ste 325
Redmond, WA 98052-7615
Phone
(425) 818-5311
Fax
(425) 434-1755
NPI assigned
Nov 20, 2020
Last updated
Jun 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Authorized official

Name
Stephanie R Johnson, AGPCNP-BCNPI 1740557289
Title
Owner
Phone
(425) 818-5311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

8201 164TH Ave NE Ste 325
Redmond, WA 98052-7615

Mailing address

8201 164TH Ave NE Ste 325
Redmond, WA 98052-7615
Phone (425) 818-5311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201203001165 WA Part B Supplier - Clinic/Group Practice 0547671125 Receives reassigned benefits from 8 practitioners
Practice locations: Redmond, WA

National Provider Directory

National Provider Directory

Locations

8201 164th Ave NE
Ste 325
Redmond, WA 98052
Phone (425) 818-5311

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781740800000",
    "number": "1154924207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 164TH AVE NE STE 325",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980527615",
            "telephone_number": "425-818-5311",
            "fax_number": "425-434-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 164TH AVE NE STE 325",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980527615",
            "telephone_number": "425-818-5311",
            "fax_number": "425-434-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY GERIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-20",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-818-5311",
        "authorized_official_credential": "AGPCNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.