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Deactivated NPI 1053437400 Deactivated / Inactive NPI Female Practitioner

Dolores M Johnson , LP

Licensed Practical Nurse • Everett, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dolores Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 21, 2007
NPI Deactivation Date August 30, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Dolores Johnson, LP was a registered Licensed Practical Nurse practicing in Everett, WA. Throughout an active medical career spanning 18 years, Dolores Johnson provided care at the practice location at 2930 MAPLE ST until profile deactivation on 2025-08-30.

Practice Location & Contact Primary Location

Practice Address

2930 Maple St

Everett, WA 982013832

Telephone 4252611500
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Everett, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
48 Specialists

Practicing in Everett, WA (1730 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

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License WA LP00015929

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003964396

Doctor of Optometry

Maricres Talley , RN

Registered Nurse - Ambulatory Care

NPI 1013074749

Registered Nurse

Scott Sheffler

Physical Therapist

NPI 1013293174
Dr. Amy Nelson , MD

Internal Medicine

NPI 1013458462

Doctor of Medicine (M.D.)

Dr. Chelsea Kozikowski , PhD

Psychologist - Clinical

NPI 1013582303

Doctor of Philosophy (Ph.D.)

Dr. Vikram Gopal , DO

Psychiatry & Neurology - Psychiatry

NPI 1033401518

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated August 30, 2025

Record deactivated on August 30, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2930 MAPLE ST, EVERETT, WA 982013832 (Tel: 4252611500)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 34584, SEATTLE, WA 981241584 (Tel: 5092417349)

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Provider Name / Credentials Updated July 08, 2007

Recorded as DOLORES JOHNSON, LP

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Licensed Practical Nurse (License #LP00015929 in WA)

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Initial NPI Registration & Enumeration March 21, 2007

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: 1053437400
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 21, 2007
Last Update: July 08, 2007
Deactivation Date: August 30, 2025

Mailing Address

Po Box 34584

Seattle, WA 981241584

Phone: 5092417349

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.