MRS. SUSANNE JANE JOHNSON (NPI# 1790864379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790864379 |
| Entity Type | Individual |
| Full Name | MRS. SUSANNE JANE JOHNSON |
| Credential | ARNP |
| Practice Address |
747 Broadway Seattle WA 98122-4379 |
| Mailing Address |
10059 Lake Shore Blvd Ne Seattle WA 98125-8157 |
| Practice Telephone | 2066933288 |
| Mailing Telephone | 2066933288 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2007-10-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WN0002X |
Registered Nurse Specialization: Neonatal Intensive Care |
RN00168047 | WA | Nursing Service Providers |
| Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
AP30007632 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528441706 | Susanne Marie Johnson | Nurse Practitioner | 525 Clinton Street, Camden, NJ 08103 | 2015-07-07 |
| 1144237488 | Susanne Johnson | Psychologist | 728 Ogden Ave, Ste E, Downers Grove, IL 60515-2901 | 2006-08-01 |
| 1023365384 | Susanne K Johnson | Specialist/Technologist | 1756 Bee Creek Rd, Special Services -- Claim Care, Branson, MO 65616-9395 | 2012-08-06 |
| 1205069770 | Susanne P Johnson | Nurse Practitioner | 22 Bozard St, Manning, SC 29102-2935 | 2009-08-31 |
| 1518137546 | Susanne Judith Johnson | Social Worker | 777 N Raymond St, Boise, ID 83704-9251 | 2008-03-05 |
| 1457479578 | Susanne Catherine Johnson | Counselor | 11 Sundial Circle, Suite #4, Carefree, AZ 85377 | 2007-03-27 |
| 1376503623 | Susanne T Johnson | Physician Assistant | 5228 W Plano Pkwy, Plano, TX 75093-5005 | 2006-03-23 |
| 1629052873 | Susanne S Johnson | Nurse Practitioner | 500 Albany Ave, Hartford, CT 06120-2508 | 2005-12-01 |
| Street Address |
747 BROADWAY |
| City | SEATTLE |
| State | WA |
| Zip Code | 98122-4379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215935960 | Marilee M. Jensen | Registered Nurse | 747 Broadway, Seattle, WA 98122-4379 | 2005-07-07 |
| 1366058919 | Mairghread Foley | Registered Nurse | 747 Broadway, Seattle, WA 98122-4307 | 2020-09-18 |
| 1891301628 | Jessica C Kelley | Registered Nurse | 747 Broadway, Seattle, WA 98122-4307 | 2020-09-17 |
| 1972116010 | Lindsey Gervascio | Registered Nurse | 747 Broadway, Seattle, WA 98122-4379 | 2020-08-28 |
| 1669097572 | Jisun Park | Dietitian, Registered | 747 Broadway, Seattle, WA 98122-4379 | 2020-06-16 |
| 1023633187 | Hang Hoang-nguyen | Pharmacist | 747 Broadway, Seattle, WA 98122-4307 | 2020-06-14 |
| 1558981357 | Caitlin Elizabeth Busbee | Student in an Organized Health Care Education/Training Program | 747 Broadway, Seattle, WA 98122-4307 | 2020-04-21 |
| 1164041323 | Emma Ludesi Makoba | Student in an Organized Health Care Education/Training Program | 747 Broadway, Seattle, WA 98122-4379 | 2020-04-08 |
| 1043849375 | Kaitlin Jane Byerly | Student in an Organized Health Care Education/Training Program | 747 Broadway, Seattle, WA 98122-4307 | 2020-04-07 |
| 1649809161 | Jia Hui Wang | Student in an Organized Health Care Education/Training Program | 747 Broadway, Seattle, WA 98122-4307 | 2020-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938506 | Quality Counseling and Consultation Service LLC | Counselor | 1525 Harvard Ave #509, Seattle, WA 98122 | 2020-07-01 |
| 1912535626 | Cesar Andrade | Student in an Organized Health Care Education/Training Program | 550 16th Avenue #400, Seattle, WA 98122 | 2020-03-29 |
| 1366089666 | Peter Nguyen | Pharmacy Technician | 914 East Jefferson Street, Campion Hall, Seattle, WA 98122 | 2019-12-05 |
| 1356903140 | Jason Dandino | Specialist/Technologist | 550 14th Avenue, Seattle, WA 98122 | 2019-07-02 |
| 1962066415 | Seattle Colleges | Local Education Agency (LEA) | Mainstay At Seattle Central College, 1701 Broadway Ms Be3210, Seattle, WA 98122 | 2019-04-30 |
| 1538621412 | Mitchell R Ornelas | Student in an Organized Health Care Education/Training Program | Swedish Family Medicine Residency Cherry Hill; 550 16th, Avenue #400, Seattle, WA 98122 | 2019-04-01 |
| 1003374265 | Michael Russell | Surgery | 747 Broadway Heath Building 10th Floor, Seattle, WA 98122 | 2019-03-06 |
| 1639646821 | Maritza E Cajiao | Doula | 747 Broadway, Seattle, Seattle, WA 98122 | 2018-10-25 |
| 1336616762 | Suzanna M Lovin | Social Worker | 401 Broadway, 1st Floor, Seattle, WA 98122 | 2018-10-24 |
| 1184137770 | Walter Franklin Krengel Jr. | Orthopaedic Surgery | 2000 1st Ave Suite 2201, Seattle, WA 98122 | 2017-11-06 |
| Find all providers in zip 98122 | ||||
| Taxonomy Code | 363LN0005X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134232606 | Heather Anne Cruz | Nurse Practitioner | 3626 Ne 45th St Ste 300, Seattle, WA 98105-5653 | 2006-08-17 |
| 1831721448 | Sarah Reilly | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-02-11 |
| 1316588932 | Aimee Madding | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2019-10-04 |
| 1558927640 | Inna Adzhigirey | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2019-05-14 |
| 1891251617 | Christine Tran | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2019-02-17 |
| 1205349073 | Tacie Anne Reger | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2017-11-14 |
| 1336695311 | Misty L Smith | Nurse Practitioner | Seattle Children's Hospital, 4800 Sand Point Way Ne, M/s Fa.2.113, Seattle, WA 98105 | 2016-08-30 |
| 1801264270 | Jocelyn Kirk | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2015-09-02 |
| 1811373327 | Kimberly Jones | Nurse Practitioner | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2015-08-06 |
| 1871805390 | Linda Marie Gasser | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105 | 2010-07-13 |
| Find all providers in SEATTLE | ||||
Please comment or provide details below to improve the information on MRS. SUSANNE JANE JOHNSON.
| 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.