Ola Jeanne Johnson

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP0003980 Issued in WA

Practice address

322 S Birch St
McCleary, WA 98557-9522

Phone

(360) 205-4750

NPI assigned

Sep 17, 2019

Last updated

Sep 17, 2019By the provider in NPPES

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

Electronic endpoints 1

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": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1396395828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "778 ELMA MCCLEARY RD TRLR 14",
            "city": "MCCLEARY",
            "state": "WA",
            "postal_code": "985579631",
            "telephone_number": "360-591-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 S BIRCH ST",
            "city": "MCCLEARY",
            "state": "WA",
            "postal_code": "985579522",
            "telephone_number": "360-205-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "OLA",
        "middle_name": "JEANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-17",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP0003980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ojohnson@telecarecorp.com",
            "affiliation": "N",
            "endpointDescription": "secure company email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "322 S Birch St",
            "city": "McCleary",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985579522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Licensed Practical Nurse in McCleary, WA
• Providers in McCleary, WA by specialty
• Licensed Practical Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.