Mary Elsbeth Johann, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP30003207 Issued in WA

Practice address

505 S 336TH St Ste 500
Federal Way, WA 98003-8300

Phone

(206) 962-3535

NPI assigned

Jan 9, 2006

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 identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Salute Nutrition PLLCGroup PAC ID 0345582557, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mjohann@landmarkhealth-direct.org

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.

• Salute Nutrition PLLC

  • Registered Dietitian
  • Kirkland, WA
  • NPI 1013487925
  Medicare reassignment Care Compare group NPD
• Bayview Family Medicine LLC

  • Family Nurse Practitioner
  • Mukilteo, WA
  • NPI 1922284215
  NPD (past)
• Lynnwood Medical Center, Incorporated, P.S.

  dba Lynnwood Medical Center

  • Primary Care Clinic/Center
  • Lynnwood, WA
  • NPI 1164555652
  NPD (past)

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1346228301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 N 107TH ST STE 480",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981339009",
            "telephone_number": "206-962-3532",
            "fax_number": "844-529-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S 336TH ST STE 500",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038300",
            "telephone_number": "206-962-3535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2150 N 107th St Ste 480",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981339009",
            "country_code": "US",
            "telephone_number": "206-962-3532",
            "fax_number": "844-529-8515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHANN",
        "first_name": "MARY",
        "middle_name": "ELSBETH",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-09",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30003207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346228301",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gurbax Kaur Jhattu
• SE Jun Ji, D.C.
• Cindy Jiao
• Celina Jimenez, RN
• Claudia Joaquin
• John a. Hodges DDS PS
• John Campbell Counseling
• John N Diaconou MD PS
• Johning Corporation (Rapha Acupuncture &Herbal Clinic)
• Karen Johnsen

• Family Nurse Practitioner in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.

Verify at the official NPI Registry.