Sage Nicole Johnson

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95198256 Issued in CA

Practice address

4626 N Christensen Rd
Medical Lake, WA 99022-9619

Phone

(901) 607-9176

NPI assigned

Aug 10, 2026

Sex

Female

Sole proprietor

No

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)

Not enrolled

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

{
    "created_epoch": "1786320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1982528097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4626 N CHRISTENSEN RD",
            "city": "MEDICAL LAKE",
            "state": "WA",
            "postal_code": "990229619",
            "telephone_number": "901-607-9176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4626 N CHRISTENSEN RD",
            "city": "MEDICAL LAKE",
            "state": "WA",
            "postal_code": "990229619",
            "telephone_number": "901-607-9176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SAGE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-10",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95198256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ulista Hoover, M.D.
• David J Hughes
• Serban I Ionescu, MD
• Ja Medical Center PS
• Jeremiah Johnson, BSN
• Angela Louise Jones, LMP
• Keblawi Pediatrics, PLLC
• Sabrina Arnott Keckalo, PA-C
• Emma D Keller
• Marlena Lee Kennedy

• Registered Nurse in Medical Lake, WA
• Providers in Medical Lake, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.