Analisa Johansen

Primary specialty

Nursing Home AdministratorTaxonomy code 376G00000X

License

756640 Issued in WA

Practice address

13208 NE Village Green Dr
Vancouver, WA 98684-6866

Phone

(360) 440-9491

NPI assigned

Sep 1, 2023

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

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

{
    "created_epoch": "1693526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1376329680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13208 NE VILLAGE GREEN DR",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986846866",
            "telephone_number": "360-440-9491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13208 NE VILLAGE GREEN DR",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986846866",
            "telephone_number": "360-440-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHANSEN",
        "first_name": "ANALISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-01",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "WA",
            "license": "756640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Jimenez, LCSW
• Tiffany Jivagunchainan
• Astara K Jobson, LMT
• Jocelyn Tello PSYD Inc
• Jon Kristian Joebgen
• Mark C. Johansen, DO
• John M. Yankee D.D.S. P.L.L.C.
• Benjamin John, MD
• Donna J Johns, PSY.D.
• Melissa Jepsen Johns, LMP, LMT, CR

• Nursing Home Administrator in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Nursing Home Administrator in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; 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.