Individual provider Active NPI

Lisa Caroline John, ARNP

  • Family Nurse Practitioner
  • Monroe, WA
National Provider Identifier
1235961723
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61593819 Issued in WA
Practice address
17707 W Main St
Monroe, WA 98272-1967
Phone
(360) 282-3885
Fax
(360) 512-2026
NPI assigned
Aug 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP61593819 WA Primary
Nurse Practitioner 363L00000X AP61593819 WA

Addresses

Primary practice location

17707 W Main St
Monroe, WA 98272-1967

Mailing address

PO Box 34703
Seattle, WA 98124-1703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241014002988 WA Practitioner - Nurse Practitioner 1759813819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sea Mar Community Health CentersGroup PAC ID 7315831161, 235 clinicians

Practice addresses (Care Compare)

4111 Alderwood Mall Blvd
Lynnwood, WA 98036-6765
Phone (425) 616-4100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP61593819WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Mar Community Health Centers Nurse Practitioner Current Accepting new patients
Sea Mar Community Health Centers CurrentSince Nov 30, 2025 Accepting new patients
Sea Mar Community Health Centers CurrentSince Oct 4, 2024 Accepting new patients
Sea Mar Community Health Centers CurrentSince Oct 4, 2024 Accepting new patients
Sea Mar Community Health Centers PastSince Nov 30, 2025 Accepting new patients

Locations

4111 Alderwood Mall Blvd
Lynnwood, WA 98036
Phone (425) 616-4100

17707 W Main St
Fl 1
Monroe, WA 98272
Phone (360) 282-3885

17707 W Main St
Monroe, WA 98272
Phone (360) 282-3885

1400 N Laventure Rd
Mount Vernon, WA 98273
Phone (360) 428-4075

1040 S Henderson St
Seattle, WA 98108
Phone (206) 763-5210

Interoperability endpoints

  • Direct secure messaging: ljohn802581@direct.multicare.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1235961723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34703",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17707 W MAIN ST",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982721967",
            "telephone_number": "360-282-3885",
            "fax_number": "360-512-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "LISA",
        "middle_name": "CAROLINE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-14",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61593819",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61593819",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, WA

Sources for this page

Verify at the official NPI Registry.