Katie Rose Johnson, RN-BSN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

RN60654273 Issued in WA

Practice address

5411 E Mill Plain Blvd Ste 28
Vancouver, WA 98661-7046

Phone

(360) 852-9092

NPI assigned

Sep 25, 2019

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

Practice roles

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.

• Northwest Nursing LLC

  • Registered Nurse
  • Vancouver, WA
  • NPI 1447196167
  NPD Authorized official
• Sea Mar Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Vancouver, WA
  • NPI 1891352340
  NPD (past)

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1174174668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 NE 84TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626282",
            "telephone_number": "360-719-8368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 E MILL PLAIN BLVD STE 28",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986617046",
            "telephone_number": "360-852-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KATIE",
        "middle_name": "ROSE",
        "credential": "RN-BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-25",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "WA",
            "license": "RN60654273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jina Coleman Johnson
• John Johnson, NURSE PRACTITIONER
• Karen Marie Johnson, MA
• Katelyn Joy Johnson
• Kathlyn Marie Johnson, LMP
• Kayla Lindsay Johnson
• Kelli Michelle Johnson, CPHT
• Keri Ann Johnson, DENTAL ASSISTANT
• Lilly Johnson
• Linda Diane Johnson, L.AC., EAMP

• General Practice Registered Nurse in Vancouver, WA
• Providers in Vancouver, WA by specialty
• General Practice Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.