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Active NPI 1104716059 Individual Practitioner Female Practitioner

Aimee D Johnson , LPN

Licensed Practical Nurse • Kelso, WA

Professional Overview & Biography Verified Profile Summary

Aimee Johnson, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Kelso, WA. Practice services are available at 305 PACIFIC AVE S STE C under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

305 Pacific Ave S Ste C

Kelso, WA 986261638

Telephone 3608081916
Fax 3608081916
Associated Practice Facility / Clinic
🏢 Wchs Inc Facility NPI 1457860959

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Kelso, WA

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

Practicing in Kelso, 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

CMS Verified: 2025-08-04
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License WA LP61040781

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

26 Associated Practitioners
Thomas Mcbride

Counselor - Addiction (Substance Use Disorder)

NPI 1003621772
Rosalie Wright , LPN, LVN

Licensed Practical Nurse

NPI 1003636465

Licensed Practical Nurse, Licensed Vocational Nurse

Deborah Harden

Counselor - Addiction (Substance Use Disorder)

NPI 1063224350
Amy Kyle

Licensed Practical Nurse

NPI 1144867516
Carrera Hobson

Licensed Practical Nurse

NPI 1194485730
Curtis Whitney , LPN

Licensed Practical Nurse

NPI 1265157358

Licensed Practical Nurse

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2025

Licensed Practical Nurse (License #LP61040781 in WA)

NPI Profile Active July 03, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location July 03, 2025

Registered at 305 PACIFIC AVE S STE C, KELSO, WA 986261638 (Tel: 3608081916)

📍
Updated Business Mailing Address July 03, 2025

Registered at 305 PACIFIC AVE S STE C, KELSO, WA 986261638 (Tel: 3608081916)

👤
Provider Name / Credentials Updated July 03, 2025

Recorded as AIMEE JOHNSON, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2025

Licensed Practical Nurse (License #WDL61040781 in WA)

🟢
Initial NPI Registration & Enumeration July 03, 2025

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: 1104716059
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 03, 2025
Last Update: August 04, 2025
Sole Proprietor: Yes

Mailing Address

305 Pacific Ave S Ste C

Kelso, WA 986261638

Phone: 3608081916

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.