Active NPI
Linda K. Johnston, ARNP
- Adult Health Nurse Practitioner
- Longview, WA
National Provider Identifier
1376549337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- AP30004941
- Practice address
- 1615 Delaware St
Longview, WA 98632-2310 - Phone
- (360) 414-2727
- Fax
- (360) 414-2739
- NPI assigned
- Jun 23, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN00054937 | WA | |
| Adult Health Nurse Practitioner | 363LA2200X | AP30004941 | WA | Primary |
Addresses
Primary practice location
1615 Delaware St
Longview, WA 98632-2310
Mailing address
PO Box 3002
Longview, WA 98632-0302
Phone (360) 414-2000
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500015680 | Other | RR MEDICARE | |
| 9623851 | Medicaid | WA | |
| 9069JO | Other | WA | BLUE SHIELD |
| 140112 | Other | WA | LABOR & IND. |
| 239007 | Medicaid | OR | |
| 8926645 | Other | WA | CRIME VICTIMS |
Other names 1
- Linda K. Zeilenga
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30004941 | WA | MD | Adult Health Nurse Practitioner |
Interoperability endpoints
- linda.johnston@direct.vmmc.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210809600000",
"number": "1376549337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3002",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986320302",
"telephone_number": "360-414-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 DELAWARE ST",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986322310",
"telephone_number": "360-414-2727",
"fax_number": "360-414-2739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "LINDA",
"middle_name": "K.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-23",
"last_updated": "2008-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN00054937",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "WA",
"license": "AP30004941",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "500015680",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9623851",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "9069JO",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & IND.",
"identifier": "140112",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "239007",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRIME VICTIMS",
"identifier": "8926645",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LINDA",
"last_name": "ZEILENGA",
"middle_name": "K.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Longview, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.