Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1780182584 Individual Practitioner Female Practitioner

Roberta Lynn Johnson , LPN

Licensed Practical Nurse • Tacoma, WA

Professional Overview & Biography Verified Profile Summary

Roberta Johnson, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Tacoma, WA. Practice services are available at INTREPID SPIRIT CENTER 90390 GARDNER LOOP under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

Intrepid Spirit Center 90390 Gardner Loop

Tacoma, WA 984310001

Telephone 2539689017

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Tacoma, WA

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

Practicing in Tacoma, 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 LPN00047974

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.

Secondary Practice Locations

Madigan Army Medical Center, 9040 Jacksonave, Attn: Mchj-Clq-C

Tacoma, WA 984311100

Phone: 2539609017

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 26, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 26, 2018

Registered at INTREPID SPIRIT CENTER 90390 GARDNER LOOP, TACOMA, WA 984310001 (Tel: 2539689017)

📍
Updated Business Mailing Address January 26, 2018

Registered at 8634 QUINAULT DR NE, OLYMPIA, WA 985165826 (Tel: 3607895261)

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Provider Name / Credentials Updated January 26, 2018

Recorded as ROBERTA JOHNSON, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2018

Licensed Practical Nurse (License #LPN00047974 in WA)

🟢
Initial NPI Registration & Enumeration January 26, 2018

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: 1780182584
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 26, 2018
Last Update: March 17, 2018
Sole Proprietor: No

Mailing Address

8634 Quinault Dr Ne

Olympia, WA 985165826

Phone: 3607895261

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.