NPIMap

Organization Active NPI

Pathway Geriatrics Residential PLLC

  • Gerontology Nurse Practitioner
  • Redmond, WA
National Provider Identifier
1326979659
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
Legal business name
PATHWAY GERIATRICS RESIDENTIAL PLLC
Practice address
8201 164TH Ave NE Ste 325
Redmond, WA 98052-7615
Phone
(425) 818-5311
Fax
(425) 434-1755
NPI assigned
May 26, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Authorized official

Name
Stephanie Rae Johnson, ARNPNPI 1740557289
Title
Owner
Phone
(425) 818-5312

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
Gerontology Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LG0600X 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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1779753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1326979659",
    "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 RESIDENTIAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-26",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-818-5312",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "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 May 26, 2026; 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.