SHAWNA LEE JOHNSON NP NPI 1659872216

NPI Information

NPI: 1659872216
Provider Name: SHAWNA LEE JOHNSON, NP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
9600 VETERAN DRIVE
TACOMA, WA
ZIP 98493
Phone: (713) 320-5286
Get Directions

Shawna Lee Johnson, NP is a gerontology nurse practitioner in Tacoma, WA. Shawna Lee Johnson, NP NPI is 1659872216. 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:

9600 VETERAN DRIVE
TACOMA, WA
ZIP 98493-001
Phone: (713) 320-5286

The NPI 1659872216 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 2/27/2018 and was last updated on 12/27/2023.

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	363LG0600X	Nurse Practitioner	Gerontology	AG02180078	TEXAS	Yes
2	363LP2300X	Nurse Practitioner	Primary Care	AP136960	TEXAS	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1659872216	OTHER	TEXAS	VA PUGET SOUND HCS, AMERICAN LAKE DIVISION

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: 4/28/2024

NPI Synchronization or Removal

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