Kathryn Leila Drake Johansen, A.R.N.P.

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP30007575 Issued in WA

Practice address

920 Alder Ave
#203
Sumner, WA 98390-1401

Phone

(253) 826-0157

NPI assigned

Nov 27, 2006

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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

• Kathryn L Drake Johansen Arnp, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Sumner, WA
  • NPI 1336576396
  NPD (past) Authorized official

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609942283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12916 86TH AVE E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983735453",
            "telephone_number": "253-840-3593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 ALDER AVE",
            "address_2": "#203",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983901401",
            "telephone_number": "253-826-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHANSEN",
        "first_name": "KATHRYN",
        "middle_name": "LEILA DRAKE",
        "name_prefix": "Ms.",
        "credential": "A.R.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP30007575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Hubbard, RPH
• Michael Keenan Huffington, DPT
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• Incontinent Solutions, Inc.
• Robert Josiah Jensen
• Billie Rene Jones, LMP
• Nickolas Jones, PHD
• Joy Management, Inc, April L Ziegele, DDS, PS
• Kathryn L Drake Johansen Arnp, PLLC
• Kathryn Zawislak Therapy

• Psychiatric/Mental Health Nurse Practitioner in Sumner, WA
• Providers in Sumner, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.