Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013254259 Individual Practitioner Female Practitioner

Kelly Johnson

Nurse Practitioner • Longview, WA

Professional Overview & Biography Verified Profile Summary

Kelly Johnson is a registered healthcare professional specializing in Nurse Practitioner in Longview, WA. Practice services are available at 1230 7TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1230 7th Ave

Longview, WA 986323198

Telephone 8008132000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Longview, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.6 Yrs
State Avg: 11.0 Yrs
Regional Practice Density
13 Specialists

Practicing in Longview, WA (2339 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-06-10
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WA AP70027451

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Nancy Waltz , MS CCC-SLP

Speech-Language Pathologist

NPI 1003054149

MSCCCSLP

Melissa Hill

Counselor - Addiction (Substance Use Disorder)

NPI 1003206236
NPI 1003251133

Doctor of Medicine (M.D.)

Rachael Scoones

Nurse Anesthetist, Certified Registered

NPI 1003524109
Danaya Hall , SWHNP

Nurse Practitioner

NPI 1003573825
Megan Martin , MA

Counselor - Addiction (Substance Use Disorder)

NPI 1003579194

Master of Arts

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location June 10, 2026

Registered at 1230 7TH AVE, LONGVIEW, WA 986323198 (Tel: 8008132000)

📍
Updated Business Mailing Address June 10, 2026

Registered at 500 NE MULTNOMAH ST STE 100, PORTLAND, OR 972322099 (Tel: 8008132000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2026

Nurse Practitioner (License #AP70027451 in WA)

NPI Profile Active August 27, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location August 27, 2013

Registered at 1818 E. WINDSOR ROAD, URBANA, IL 618029566 (Tel: 2172559670)

📍
Updated Business Mailing Address August 27, 2013

Registered at PO BOX 6002, URBANA, IL 618036002 (Tel: 2173268630)

👤
Provider Name / Credentials Updated August 27, 2013

Recorded as KELLY JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2013

Nurse Practitioner (License #041308882 in IL)

🟢
Initial NPI Registration & Enumeration January 08, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013254259
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 08, 2013
Last Update: June 10, 2026
Sole Proprietor: No

Mailing Address

500 Ne Multnomah St Ste 100

Portland, OR 972322099

Phone: 8008132000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.