Individual provider Active NPI

Johanna Morison Taniguchi, ARNP, MSN

  • Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1770936676
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60671439 Issued in WA
Practice address
1221 Madison St Ste 1220
Seattle, WA 98104-1356
Phone
(206) 215-4250
Fax
(206) 215-4252
NPI assigned
Jul 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60150816 WA
Gastroenterology Physician 207RG0100X RN60150816 WA
Family Nurse Practitioner 363LF0000X AP60671439 WA
Nurse Practitioner 363L00000X AP60671439 WA Primary

Addresses

Primary practice location

1221 Madison St Ste 1220
Seattle, WA 98104-1356

Mailing address

PO Box 25608
Salt Lake City, UT 84125-0608
Phone (206) 320-4476

Other identifiers 1

IdentifierTypeStateIssuer
1770936676MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jtaniguchi1043394@wm.providencedirect.org

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170103000528 WA Practitioner - Nurse Practitioner 6901187145 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

11027 Meridian Ave N
Suite 100
Seattle, WA 98133-1705
Phone (206) 365-4492

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN60150816WAMDRegistered Nurse
AP60671439WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Puget Sound Gastroenterology, PLLC Gastroenterology CurrentSince Sep 18, 2023 Accepting new patients
Public Hospital District #1-a of Whitman County CurrentSince Aug 26, 2023 Accepting new patients
Puget Sound Gastroenterology, PLLC CurrentSince Sep 18, 2023 Accepting new patients
Puget Sound Gastroenterology, PLLC Current Accepting new patients
Public Hospital District #1-a of Whitman County Past Accepting new patients
Puget Sound Gastroenterology, PLLC Past Accepting new patients

Locations

835 SE Bishop Blvd
Pullman, WA 99163
Phone (509) 332-2541

825 SE Bishop Blvd
Ste 140
Pullman, WA 99163
Phone (509) 334-4498

840 SE Bishop Blvd
Ste 101
Pullman, WA 99163
Phone (509) 332-6139

501 N 34th St
Ste 101
Seattle, WA 98103
Phone (206) 838-1777

11027 Meridian Ave N
Ste 100
Seattle, WA 98133
Phone (206) 365-4492

Interoperability endpoints

  • Direct secure messaging: jtaniguchi1043394@wm.providencedirect.org
  • Direct secure messaging: johanna.taniguchi@gastrohealth.eclinicaldirectplus.com

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1770936676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25608",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841250608",
            "telephone_number": "206-320-4476",
            "fax_number": "206-568-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 MADISON ST STE 1220",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041356",
            "telephone_number": "206-215-4250",
            "fax_number": "206-215-4252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANIGUCHI",
        "first_name": "JOHANNA",
        "middle_name": "MORISON",
        "name_prefix": "Ms.",
        "credential": "ARNP, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-15",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60150816",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WA",
            "license": "RN60150816",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60671439",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60671439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770936676",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jtaniguchi1043394@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "5350 Tallman Ave NW Ste 520",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981075910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.