JOHANNA VILLASENOR NARDINI M.D. NPI 1780046839

NPI Information

  • NPI: 1780046839
  • Provider Name: JOHANNA VILLASENOR NARDINI, M.D.
  • Classification: Psychiatry & Neurology - 2084P0804X
  • Specialization: Child & Adolescent Psychiatry
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4405 7TH AVE SE STE 200
    LACEY, WA
    ZIP 98503
  • Phone: (210) 201-2656

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NPI Details

Johanna Villasenor Nardini, M.D. is a child and adolescent psychiatry psychiatry neurology in Lacey, WA. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. Johanna Villasenor Nardini, M.D. NPI is 1780046839. 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:

4405 7TH AVE SE STE 200
LACEY, WA
ZIP 98503-055
Phone: (210) 201-2656

The NPI 1780046839 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 3/27/2016 and was last updated on 12/29/2025.

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
12084P0800XPsychiatry & NeurologyPsychiatryMD61413990WASHINGTONNo
22084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryMD61413990WASHINGTONYes
32084P0800XPsychiatry & NeurologyPsychiatryT0115TEXASNo
42084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryT0115TEXASNo

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: 11/21/2025

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