Active NPI
Lisa Marie Johnson, ARNP
- Family Nurse Practitioner
- Bellingham, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP30005494
- Practice address
- 2979 Squalicum Pkwy
Ste 101
Bellingham, WA 98225-1813 - Phone
- (360) 734-2700
- Fax
- (360) 734-8362
- NPI assigned
- May 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP30005494 | WA | Primary |
Addresses
Primary practice location
2979 Squalicum Pkwy
Ste 101
Bellingham, WA 98225-1813
Mailing address
2979 Squalicum Pkwy
Ste 101
Bellingham, WA 98225-1813
Phone (360) 734-2700
Other names 1
- Lisa Marie Wallis
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2901 Sqaulicum Pkwy
Bellingham, WA 98225-1851
Phone (360) 734-5400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Sound Inpatient Physicians PLLC | Current | Accepting new patients | |
| South Sound Inpatient Physicians, PLLC | Current | Accepting new patients | |
| South Sound Inpatient Physicians PLLC | Current | Accepting new patients |
Locations
5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674
2901 Squalicum Pkwy
Bellingham, WA 98225
Phone (360) 734-5400
16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970
407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000
Organizations & group practices 3
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.
-
dba Sound Inpatient Physicians
- Internal Medicine Physician
- Vancouver, WA
- NPI 1023285756
-
- Internal Medicine Physician
- Burien, WA
- NPI 1366741290
-
dba Sound Inpatient Physicians
- Internal Medicine Physician
- Hillsboro, OR
- NPI 1508023789
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba PeaceHealth United General Medical Center
- Critical Access Hospital
- Sedro Woolley, WA
- NPI 1144664954
-
dba Peacehealth Peace Island Medical Center
- Critical Access Hospital
- Friday Harbor, WA
- NPI 1487917233
-
dba Skagit Valley Hospital
- General Acute Care Hospital
- Mount Vernon, WA
- NPI 1053357244
-
dba Northwest Regional Laboratory
- Clinical Medical Laboratory
- Bellingham, WA
- NPI 1013137173
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400112000000",
"number": "1265483044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2979 SQUALICUM PKWY",
"address_2": "STE 101",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982251813",
"telephone_number": "360-734-2700",
"fax_number": "360-734-8362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2979 SQUALICUM PKWY",
"address_2": "STE 101",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982251813",
"telephone_number": "360-734-2700",
"fax_number": "360-734-8362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "LISA",
"middle_name": "MARIE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-15",
"last_updated": "2014-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP30005494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "WALLIS",
"middle_name": "MARIE",
"credential": "ARNP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.