Active NPI
Deborah Jean Johnson, RNC
- Child & Adolescent Psychiatric/Mental Health Registered Nurse
- Chehalis, WA
National Provider Identifier
1679604052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Registered Nurse
- License
- RN00114439
- Practice address
- 135 W Main St
Chehalis, WA 98532-4817 - Phone
- (360) 748-6696
- Fax
- (360) 748-0627
- NPI assigned
- Mar 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | RN00114439 | WA | Primary |
Addresses
Primary practice location
135 W Main St
Chehalis, WA 98532-4817
Mailing address
PO Box 1445
Chehalis, WA 98532-0378
Phone (360) 748-6696
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN00114439 | WA | MD | Child & Adolescent Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679604052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1445",
"city": "CHEHALIS",
"state": "WA",
"postal_code": "985320378",
"telephone_number": "360-748-6696",
"fax_number": "360-748-0627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 W MAIN ST",
"city": "CHEHALIS",
"state": "WA",
"postal_code": "985324817",
"telephone_number": "360-748-6696",
"fax_number": "360-748-0627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "DEBORAH",
"middle_name": "JEAN",
"credential": "RNC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0807X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
"state": "WA",
"license": "RN00114439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chehalis, WA
- Isabela Jauregui, RN
- Brad Lance Jensen, CDP
- John H Cho DDS LLC (Chehalis Family Dental)
- John Pham DDS PC (Rochester Family Dental/Town Center Dental)
- Cynthia Ann Johnson, TAIJIFIT FLOW
- Julie Elizabeth Johnson, LMHC
- Louisa Viola Johnson, LMT
- Matthew Allen Johnson, PSY.D.
- Molly Johnson
- Susan Ruth Johnson, PA-C
Sources for this page
- 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.