TERA L. JOHNSON


Address: 1420 3rd St Se, Ste. 200, Puyallup, WA 98372-3730
Phone: 2538487660

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
60705836 WA Physician Assistants & Advanced Practice Nursing Providers

Other Providers TERA JOHNSON

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

Office Location

Street Address 1420 3RD ST SE
STE. 200
City PUYALLUP
State WA
Zip Code 98372-3730

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City PUYALLUP
Zip Code 98372

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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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