MS. ROBERTA LYNN JOHNSON (NPI# 1780182584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780182584 |
| Entity Type | Individual |
| Full Name | MS. ROBERTA LYNN JOHNSON |
| Other Name | BOBBIE STACEY |
| Credential | LPN |
| Practice Address |
Intrepid Spirit Center 90390 Gardner Loop Tacoma WA 98431-0001 |
| Mailing Address |
8634 Quinault Dr Ne Olympia WA 98516-5826 |
| Practice Telephone | 2539689017 |
| Mailing Telephone | 3607895261 |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LPN00047974 | WA | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Madigan Army Medical Center, 9040 Jacksonave, Attn: Mchj-clq-c, Tacoma, WA 984311100 | 2539609017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689731564 | Roberta Michelle Johnson | Chiropractor | 6059 S Quebec St, Suite 103, Centennial, CO 80111-4514 | 2007-01-02 |
| 1770567042 | Roberta L Johnson | Speech-Language Pathologist | 1664 North Virginia, Mail Stop 152 Redfield Medical Building, Reno, NV 89557-0274 | 2005-12-01 |
| 1649413287 | Roberta May Johnson | Family Medicine | 249 Rt. 11 A, Nedrow, NY 13120-4500 | 2009-04-13 |
| 1104007236 | Roberta Johnson | Social Worker | 204 Water St, Ellsworth, ME 04605-2038 | 2007-11-16 |
| 1588769723 | Roberta Jean Johnson | Occupational Therapist | 600 Highland Ave, Compliance Mail Code-2433, Madison, WI 53792-0001 | 2006-09-13 |
| Street Address |
INTREPID SPIRIT CENTER 90390 GARDNER LOOP |
| City | TACOMA |
| State | WA |
| Zip Code | 98431-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922629427 | Helen Kigonya Babirye I | Licensed Practical Nurse | 9625 Croft St S, Tacoma, WA 98444-6533 | 2020-05-06 |
| 1346880267 | Lasana Lanell Bridges | Licensed Practical Nurse | 12720 C St S Apt E, Tacoma, WA 98444-1901 | 2020-01-08 |
| 1861051385 | Ashley Danielle Veal | Licensed Practical Nurse | 5001 S 56th St Ste J-o, Tacoma, WA 98409-1343 | 2019-06-08 |
| 1710545801 | Audrey Warman | Licensed Practical Nurse | 5313 110th St Sw, Tacoma, WA 98499-3529 | 2019-06-03 |
| 1528528247 | Kerrich Nicholson | Licensed Practical Nurse | 836 S Rochester St, Tacoma, WA 98465-1836 | 2019-03-20 |
| 1275097701 | Demetria House | Licensed Practical Nurse | 3727 S Tacoma Way, Tacoma, WA 98409-3134 | 2019-01-29 |
| 1609340660 | Carolyne Nderitu | Licensed Practical Nurse | 10202 Pacific Ave S Ste 210, Tacoma, WA 98444-6573 | 2019-01-13 |
| 1942770813 | Lance Edward Phillips | Licensed Practical Nurse | 3629 S D St # 1119211, Tacoma, WA 98418-6813 | 2018-12-04 |
| 1003301813 | Melissa Nichole Nash | Licensed Practical Nurse | Madigan Army Medical Center 9040 Jackson Ave Attn: Mch, Tacoma, WA 98431-0001 | 2018-06-25 |
| 1922506641 | Paul Hamrick | Licensed Practical Nurse | Madigan Army Medical Center Taco 9140 Jackson Ave Attn:, Tacoma, WA 98431-0001 | 2018-01-28 |
| Find all providers in TACOMA | ||||
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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.