Individual provider Active NPI

Kirstin Rebekka Johnson, ARNP

  • Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1386020287
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60586033 Issued in WA
Practice address
235 E Rowan Ave Ste 102
Spokane, WA 99207-1240
Phone
(509) 489-2101
Fax
(509) 483-2521
NPI assigned
Aug 3, 2015
Last updated
Jul 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP60586033 WA Primary

Addresses

Primary practice location

235 E Rowan Ave Ste 102
Spokane, WA 99207-1240

Mailing address

PO Box 31001-4114
Pasadena, CA 91110-0001

Other practice location 1

105 W 8th Ave Ste 7010
Spokane, WA 99204-2312
Phone (509) 474-6525

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151023001249 WA Practitioner - Certified Nurse Midwife (CNM) 1052620549 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Spokane Womens Health PSGroup PAC ID 3274421466, 10 clinicians

Practice addresses (Care Compare)

105 W 8TH Ave
Suite 7010
Spokane, WA 99204-2312
Phone (509) 474-6560

235 E Rowan Ave
Suite 102
Spokane, WA 99207-1240
Phone (509) 489-2101

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
AP60586033WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Washington CurrentSince Apr 7, 2025 Accepting new patients
Community Health Association of Spokane Current Accepting new patients
Community Health Association of Spokane CurrentSince Oct 6, 2015 Accepting new patients
Providence Health & Services Washington CurrentSince Apr 7, 2025 Accepting new patients
Community Health Association of Spokane CurrentSince Oct 6, 2015 Accepting new patients
North Spokane Womens Health PS CurrentSince Jul 1, 2024 Accepting new patients

Locations

1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701

1001 W 2nd Ave
Spokane, WA 99201
Phone (509) 835-1205

105 W 8th Ave
Ste 7010
Spokane, WA 99204
Phone (509) 353-3901

203 N Washington St
Ste 300
Spokane, WA 99201

235 E Rowan Ave
Ste 102
Spokane, WA 99207
Phone (509) 489-2101

3919 N Maple St
Spokane, WA 99205
Phone (509) 326-6900

611 N Iron Bridge Way
Spokane, WA 99202

817 S Perry St
Unit B
Spokane, WA 99202
Phone (509) 434-0390

Interoperability endpoints

  • Direct secure messaging: kirstin.johnson.1@31722.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1386020287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31001-4114",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911100001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 E ROWAN AVE STE 102",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071240",
            "telephone_number": "509-489-2101",
            "fax_number": "509-483-2521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 W 8th Ave Ste 7010",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992042312",
            "country_code": "US",
            "telephone_number": "509-474-6525",
            "fax_number": "509-227-7070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KIRSTIN",
        "middle_name": "REBEKKA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-03",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60586033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.