TERA L. JOHNSON (NPI# 1649712548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649712548 |
Entity Type | Individual |
Full Name | TERA L. JOHNSON |
Credential | CPNP-PC |
Practice Address |
1420 3rd St Se Ste. 200 Puyallup WA 98372-3730 |
Mailing Address |
2 E Main St # 523 Auburn WA 98002-5200 |
Practice Telephone | 2538487660 |
Practice Fax Number | 2538411801 |
Mailing Telephone | 2108785584 |
Enumeration Date | 2016-11-08 |
Last Update Date | 2016-11-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
60705836 | WA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871038117 | Tera Noelle Johnson | Student in an Organized Health Care Education/Training Program | 1891 Glendon Cir, Pleasant Grove, UT 84062-8567 | 2016-12-22 |
1881053494 | Tera Johnson | Counselor | 116 Bertrand Dr, Lafayette, LA 70506-5632 | 2016-02-11 |
Street Address |
1420 3RD ST SE STE. 200 |
City | PUYALLUP |
State | WA |
Zip Code | 98372-3730 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821056169 | Scott John Soeder | Orthotist | 1420 3rd St Se, Suite 108, Puyallup, WA 98372-3730 | 2006-05-03 |
1689116691 | Pediatric Health Care | Nurse Practitioner | 1420 3rd St Se, Ste. 200, Puyallup, WA 98372-3730 | 2016-11-08 |
1013310747 | Tyler Trudeau | Physical Therapist | 1420 3rd St Se, Ste. 102, Puyallup, WA 98372-3730 | 2014-10-08 |
1962773465 | Chell Antoinette Little | Massage Therapist | 1420 3rd St Se, Suite 102, Puyallup, WA 98372-3730 | 2012-01-16 |
1386978948 | Michael J. Loforti | Physical Therapist | 1420 3rd St Se, Suite 102, Puyallup, WA 98372-3730 | 2009-09-29 |
1235161712 | Bisher Abdullah | Internal Medicine | 1420 3rd St Se, 106, Puyallup, WA 98372 | 2006-07-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295371532 | Jeffrey Allen Zhan | Urology | Good Samaritan Medical Office Bldg 1450 5th St Se, Suite 2100- Urology Clinic, Puyallup, WA 98372 | 2019-11-21 |
1447811419 | Serenity Counseling & Consulting, LLC | Marriage & Family Therapist | 102 23rd St Se, Unit B, Puyallup, WA 98372 | 2019-06-21 |
1316401565 | Katherine Juarez Davidson | Nurse Practitioner | 325 E Pioneer # A145, Puyallup, WA 98372 | 2019-01-22 |
1679041404 | Cara Ann Lundin | Nurse Practitioner | 11926 43rd St Crt E, Edgewood, WA 98372 | 2018-11-09 |
1104392109 | Megan Black | Occupational Therapist | 40 29th St Ne, Puyallup, WA 98372 | 2018-10-17 |
1063919470 | Myriah Shekinah Olakpe | Occupational Therapist | 516 Se 23rd Ave, Puyallup, WA 98372 | 2018-04-11 |
1902330202 | Tyler Girdler | Student in an Organized Health Care Education/Training Program | 1322 3rd Street Se Suite 240, Puyallup, WA 98372 | 2017-04-13 |
1770039471 | Mahalakshmi Hariharan | Pharmacist | 2117 28th St Se, Puyallup, WA 98372 | 2016-09-01 |
1801241112 | Nawazish Ali | Internal Medicine | 401 15th Ave Se Multicare God Samartian Hopsital, Puyallup, WA 98372 | 2016-04-25 |
1932567559 | Denice L. Voss | Physical Therapist | 400 29th St. Ne, Puyallup, WA 98372 | 2016-02-10 |
Find all providers in zip 98372 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336260280 | Roberta Louise Salveson | Nurse Practitioner | 319 5th St Nw, Puyallup, WA 98371 | 2007-04-02 |
1124105408 | Shawna Hood | Nurse Practitioner | 1706 S Meridian, Suite 120, Puyallup, WA 98371-7516 | 2006-11-01 |
1922026178 | Theresa J Harris | Nurse Practitioner | 1706 S Meridian Ste 130, Puyallup, WA 98371-7516 | 2006-07-17 |
1467965954 | Heather Buzbee | Nurse Practitioner | 10217 125th Street Ct E, Puyallup, WA 98374-2761 | 2017-11-07 |
1073041364 | Lisa Ann Oberlander | Nurse Practitioner | 11102 Sunrise Blvd E Ste 103, Puyallup, WA 98374-8846 | 2017-05-31 |
1689116691 | Pediatric Health Care | Nurse Practitioner | 1420 3rd St Se, Ste. 200, Puyallup, WA 98372-3730 | 2016-11-08 |
1558716043 | Emily Winn | Nurse Practitioner | 11102 Sunrise Blvd E, Suite 103, Puyallup, WA 98374-8846 | 2016-05-03 |
1801293949 | Devyn Catherine Cameron | Nurse Practitioner | 11102 Sunrise Blvd E, Suite 103, Puyallup, WA 98374-8846 | 2014-12-03 |
1750639704 | Evergreen Children's Clinic | Nurse Practitioner | 1910 Meridian St S, Suite A, Puyallup, WA 98371-7531 | 2012-08-23 |
1114280476 | Julia Berndt Rapp | Nurse Practitioner | 10217 125th Street Ct E Fl 2, Puyallup, WA 98374-2761 | 2012-06-21 |
Find all providers in PUYALLUP |
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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.