Tiffany Dawn Johnson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP61315919 Issued in WA

Practice address

9916 NE Highway 99
Vancouver, WA 98686-5608

Phone

(503) 449-7145

NPI assigned

Oct 16, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Tiffany Dawn Mann Former name

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": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1467963637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2723 NE MAPLEWOOD DR",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986650178",
            "telephone_number": "503-449-7145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9916 NE HIGHWAY 99",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986865608",
            "telephone_number": "503-449-7145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4616 N Albina Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972173012",
            "country_code": "US",
            "telephone_number": "503-972-9411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TIFFANY",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-16",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OR",
            "license": "201610057LPN",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP61315919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "MANN",
            "middle_name": "DAWN",
            "prefix": "MS.",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sage Johnson
• Sandra Renee Johnson, MSN, RN, NCSN, PHN
• Sarah Maria Johnson, LMHC
• Shylieca Johnson
• Tara Johnson
• Tina Marie Johnson
• Wendy Johnson, MS, CCC-SLP
• Wendy Robin Johnson, PHD
• Wendy Sloan Johnson, RN
• Alison M Johnston, RPH

• Licensed Practical Nurse in Vancouver, WA
• Providers in Vancouver, 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 Jun 12, 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.