Individual provider Active NPI

Brittany Johnson, PA

  • Medical Physician Assistant
  • Tempe, AZ
National Provider Identifier
1790181543
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA61004862 Issued in WA
Practice address
7086 S Heather Dr
Tempe, AZ 85283-4263
Phone
(208) 660-8532
NPI assigned
Nov 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA61004862 WA Primary
Physician Assistant 363A00000X PA61004862 WA

Addresses

Primary practice location

7086 S Heather Dr
Tempe, AZ 85283-4263

Mailing address

7086 S Heather Dr
Tempe, AZ 85283-4263
Phone (208) 660-8532

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200519001904 WA Practitioner - Physician Assistant 3476877515 Reassigns benefits to 2 organizations
I20220512000641 ID Practitioner - Physician Assistant 3476877515 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meza Post Acute and Long Term Care PLLCGroup PAC ID 4981028503, 26 clinicians

Practice addresses (Care Compare)

1308 N Vercler Rd
Spokane Valley, WA 99216-1042
Phone (509) 926-4533

17121 E 8TH Ave
Spokane Valley, WA 99016-8556
Phone (208) 819-2183

2220 W Prairie Ave
Coeur D Alene, ID 83815-8424
Phone (208) 661-6173

3400 E Fernan Hill Rd
Coeur D Alene, ID 83814-7588
Phone (208) 819-4970

Hospital & facility affiliations

  • Reliant Healthcare, Inc Home health agency, Coeur D'Alene, ID, CCN 137126
  • Hospice of North Idaho Hospice, Coeur D Alene, ID, CCN 131504
  • Kootenai Health Hospital, Coeur D'Alene, ID, CCN 130049

Merit-based Incentive Payment System (MIPS)

Final score
86.65 of 100Reported as apm
Quality
89.26
Promoting interoperability
69.9
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5791AZMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
South Sound Inpatient Physicians PLLC Family Medicine CurrentSince Apr 22, 2024 Accepting new patients
South Sound Inpatient Physicians PLLC Family Medicine CurrentSince Apr 22, 2024 Accepting new patients

Locations

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

1242 11th St
Clarkston, WA 99403
Phone (208) 401-9618

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

1225 N Argonne Rd
Ste 100
Spokane Valley, WA 99212
Phone (509) 505-5315

Organizations & group practices 4

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": "1415232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1790181543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7086 S HEATHER DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852834263",
            "telephone_number": "208-660-8532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7086 S HEATHER DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852834263",
            "telephone_number": "208-660-8532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BRITTANY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-06",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA61004862",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61004862",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.