NICOLE KATRINA JOHNSEN ARNP NPI 1295130979

NPI Information

NPI: 1295130979
Provider Name: NICOLE KATRINA JOHNSEN, ARNP
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Organization: ST LUKES CLINIC-TREASURE VALLEY LLC

PECOS Registration: Yes

Address:
400 108TH AVE NE
OVERLAKE MEDICAL CLINIC, DOWNTOWN BELLEVUE
BELLEVUE, WA
ZIP 98004
Phone: (425) 635-6350
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Nicole Katrina Johnsen, ARNP is a primary care nurse practitioner in Bellevue, WA with 10 years of experience. Nicole Katrina Johnsen, ARNP NPI is 1295130979. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

400 108TH AVE NE
OVERLAKE MEDICAL CLINIC, DOWNTOWN BELLEVUE
BELLEVUE, WA
ZIP 98004
Phone: (425) 635-6350

The NPI 1295130979 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/24/2014 and was last updated on 10/24/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care	AP60508856	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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