Sossan Jamilah Johnston, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA60600188 Issued in WA

Practice address

109 SW 366TH St
Federal Way, WA 98023-7372

Phone

(603) 969-7197

NPI assigned

Nov 10, 2014

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

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Mt. Rainier Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Puyallup, WA
  • NPI 1538104476
  Medicare reassignment
• Northwest Observation Associates PC

  • Internal Medicine Physician
  • Federal Way, WA
  • NPI 1023539376
  Medicare reassignment
• Northwest Physician Associates PC

  • Physician Assistant
  • Arlington, WA
  • NPI 1275567919
  Medicare reassignment

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509321600000",
    "number": "1629474135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16085 NW EDWARD CT",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970067209",
            "telephone_number": "603-969-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 SW 366TH ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980237372",
            "telephone_number": "603-969-7197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "SOSSAN",
        "middle_name": "JAMILAH",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-10",
        "last_updated": "2017-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60600188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefano Johnson, MD
• Stephanie Ann Johnson
• Susan H. Johnson, MD
• Erin Condy Johnston
• Joshua Aaron Johnston, M.D.
• Brin Joiner, PT, DPT, ATC
• Jomenta Holistic Care LLC
• Jomenta Holistic Care LLC
• Jonathon Einowski DDS PLLC
• Jones Community Solutions LLC

• Physician Assistant in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.