Heather Johnson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP61517186 Issued in WA

Practice address

17404 44TH Ave E Apt Q106
Tacoma, WA 98446-5925

Phone

(951) 412-8982

NPI assigned

Jun 28, 2024

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

Other names 1

• Heather Hairston Former name

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": "1719532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1164267308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17404 44TH AVE E APT Q106",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984465925",
            "telephone_number": "951-412-8982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17404 44TH AVE E APT Q106",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984465925",
            "telephone_number": "951-412-8982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "HEATHER",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-28",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP61517186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "HAIRSTON",
            "credential": "LVN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emily Anne Johnson
• Evan Johnson, M.P.A.
• Gregory Charles Johnson II, OD
• Haley Ward Johnson, MD
• Haminah Laverne Johnson
• Heide A Johnson
• Heidi Kristine Johnson, L.M.P.
• Holly Johnson, LCSW
• Howard L. Johnson
• Jacob Steven Samuel Johnson, RN

• Licensed Practical Nurse in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Licensed Practical Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.