Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053639070 Individual Practitioner Female Practitioner

Dr. Amy Wang Johnson , MD

Pediatrics • Everett, WA

Professional Overview & Biography Verified Profile Summary

Dr. Amy Johnson, MD is a registered healthcare professional specializing in Pediatrics in Everett, WA. Practice services are available at 1424 BROADWAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1424 Broadway

Everett, WA 982011720

Telephone 4257892000
Fax 4257892096
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Everett, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.0 Yrs
State Avg: 18.8 Yrs
Regional Practice Density
39 Specialists

Practicing in Everett, WA (1802 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License WA 60891239

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License CA A121626

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Secondary Practice Locations

1172 N Maclay Ave, Northeast Valley Health Corporation Att: Medical Admin

San Fernando, CA 913401328

Phone: 5169028625

Practice Associates & Co-Workers

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

23 Associated Practitioners
Gia Frank , NP

Nurse Practitioner

NPI 1043085293

Nurse Practitioner

Meriel Muffly , CDP

Counselor - Addiction (Substance Use Disorder)

NPI 1053461988
NPI 1134293251

Doctor of Medicine (M.D.)

Tanya Bhatia

Internal Medicine

NPI 1194984161
June Longway , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1225023559

Psychiatric-Mental Health Nurse Practitioner

Audrey Tejeda , RDH

Dental Hygienist

NPI 1235974379

Registered Dental Hygienist

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location December 06, 2019

Registered at 1424 BROADWAY, EVERETT, WA 982011720 (Tel: 4257892000)

📍
Updated Business Mailing Address December 06, 2019

Registered at 1424 BROADWAY, EVERETT, WA 982011720 (Tel: 4257892000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2019

Pediatrics (License #60891239 in WA)

NPI Profile Active February 02, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 02, 2017

Registered at 1172 N MACLAY AVE, NORTHEAST VALLEY HEALTH CORPORATION ATT: MEDICAL ADMIN, SAN FERNANDO, CA 913401328 (Tel: 5169028625)

📍
Updated Business Mailing Address February 02, 2017

Registered at 1172 N MACLAY AVE, NORTHEAST VALLEY HEALTH CORPORATION ATT: MEDICAL ADMIN, SAN FERNANDO, CA 913401328 (Tel: 5169028625)

👤
Provider Name / Credentials Updated February 02, 2017

Recorded as AMY JOHNSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2017

Pediatrics (License #A121626 in CA)

NPI Profile Active May 14, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location May 14, 2010

Registered at 757 WESTWOOD PLZ, B711 RRUMC, LOS ANGELES, CA 900957419 (Tel: 5169028625)

📍
Updated Business Mailing Address May 14, 2010

Registered at 757 WESTWOOD PLZ, B711 RRUMC, LOS ANGELES, CA 900957419 (Tel: 5169028625)

👤
Provider Name / Credentials Updated May 14, 2010

Recorded as AMY WANG JOHNSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 14, 2010

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 14, 2010

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: 1053639070
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 14, 2010
Last Update: December 06, 2019
Sole Proprietor: No

Mailing Address

1424 Broadway

Everett, WA 982011720

Phone: 4257892000

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.