MS. KATHRYN LEILA DRAKE JOHANSEN


Address: 920 Alder Ave, #203, Sumner, WA 98390-1401
Phone: 2538260157

MS. KATHRYN LEILA DRAKE JOHANSEN (NPI# 1609942283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609942283
Entity Type Individual
Full Name MS. KATHRYN LEILA DRAKE JOHANSEN
Credential A.R.N.P.
Practice Address 920 Alder Ave
#203
Sumner
WA 98390-1401
Mailing Address 12916 86th Ave E
Puyallup
WA 98373-5453
Practice Telephone 2538260157
Mailing Telephone 2538403593
Enumeration Date 2006-11-27
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
AP30007575 WA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 920 ALDER AVE
#203
City SUMNER
State WA
Zip Code 98390-1401

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487650784 Bobbie Katherine Fletcher Nurse Practitioner 920 Alder Ave, Ste 203, Sumner, WA 98390-1401 2005-06-22
1992253017 Nickolas Jones Psychologist 920 Alder Ave, Suite 207, Sumner, WA 98390-1401 2016-09-19
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1972976090 Katia Ramirez Psychologist 920 Alder Ave, Suite 207, Sumner, WA 98390-1401 2015-11-11
1336576396 Kathryn L Drake Johansen Arnp, Pllc Nurse Practitioner 920 Alder Ave, Suite 203, Sumner, WA 98390-1401 2013-10-04
1376987420 Katrina Higgins, Pllc Clinic/Center 920 Alder Ave, Suite 207, Sumner, WA 98390-1401 2013-04-19
1487990263 Christy Christian Ma, Lmhc, LLC Counselor 920 Alder Ave, Suite 203a, Sumner, WA 98390-1401 2012-12-22
1548584303 Katrina Lynn Higgins Psychologist 920 Alder Ave, Suite 207, Sumner, WA 98390-1401 2010-03-23
1629253729 Christine Ellen Christian Counselor 920 Alder Ave, Suite 203a, Sumner, WA 98390 2008-01-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669996211 Michael Johnson-money Pharmacist 20904 Highway-410, Bonney Lake, WA 98390 2017-07-26
1295150498 Sound Associates Western Washington LLC Hearing Instrument Specialist 15324 Main St. E, Ste. B, Sumner, WA 98390 2014-02-25
1811330129 Callie Leah Macleod Student in an Organized Health Care Education/Training Program 5805 Parker Rd, Sumner, WA 98390 2013-04-17
1699020388 Alex George Wardle Pharmacist 20901 Highway 410, Bonney Lake, WA 98390 2012-07-18
1417102112 Laura Christine Vandyk Dentist 1006 C Fryar Ave, Sumner, WA 98390 2008-11-21
1164631248 Jeff Lee Sisco Massage Therapist 21157 State Route 410, Bonney Lake, WA 98390 2007-05-22
1215053764 Assisted Living Concepts Inc Assisted Living Facility 5713 Parker Road, Sumner, WA 98390 2007-03-22
1518007350 Julie Bush Webster Marriage & Family Therapist 920 Alder Avenue, Suite 203, Sumner, WA 98390 2007-02-08
1154478014 Bonney Lake Optical, Inc Durable Medical Equipment & Medical Supplies 21221 Hwy 410, Bonney Lake, WA 98390 2007-01-04
1437248986 Christopher John Nielsen Dentist 3106-e Sumner-tapps Hwy E, Sumner, WA 98390 2006-10-12
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487650784 Bobbie Katherine Fletcher Nurse Practitioner 920 Alder Ave, Ste 203, Sumner, WA 98390-1401 2005-06-22
1588285878 Lynda Hoke Nurse Practitioner 10940 Lawrence Rd, Sumner, IL 62466-4915 2020-04-28
1336576396 Kathryn L Drake Johansen Arnp, Pllc Nurse Practitioner 920 Alder Ave, Suite 203, Sumner, WA 98390-1401 2013-10-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1134720139 Youwen Hu Nurse Practitioner 10824 Se 170th St Unit A304, Renton, WA 98055-5950 2020-11-05
1831799048 Sarah Louise Weerheim Nurse Practitioner 2727 Hollycroft St Ste 110v, Gig Harbor, WA 98335-1371 2020-10-27
1619576774 Bethany Heath Arnp-pmhnp Pllc Nurse Practitioner 1224 West Riverside, Apt 408, Spokane, WA 99201 2020-10-20
1437761988 Hollye Hahn Nurse Practitioner 1012 Nw Longview Dr, Oak Harbor, WA 98277-8947 2020-08-17
1386254290 Candie M. Wellwood Nurse Practitioner 9908 S Sherman Rd, Spokane, WA 99224-9811 2020-08-05
1104434679 Progressive Psychiatric Consultant Nurse Practitioner 170 S Lincoln St # 150, Spokane, WA 99201-4443 2020-07-21
1235747213 Peaceful Coexistence, LLC Nurse Practitioner 4730 University Way Ne Ste 104, Seattle, WA 98105-4424 2020-07-16
1134747066 New Dawn Psychotherapy Pllc Nurse Practitioner 2223 Benson Rd S Apt D102, Renton, WA 98055-8837 2020-07-07
1376160861 Clarity Behavioral Health Nurse Practitioner 7704 193rd Pl Sw, Edmonds, WA 98026-6234 2020-06-30
1174140677 Rachael Davison Nurse Practitioner 22525 Se 64th Pl Ste 228, Issaquah, WA 98027-5383 2020-06-30
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Competitor

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City SUMNER
Zip Code 98390

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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