BEVERLY MICHELLE JOHNSON SUDP/RN
NPI 1073455721
Counselor - Addiction (Substance Use Disorder) in Bremerton, WA

Q: What is Beverly Johnson's NPI number?

The NPI number for Beverly Johnson is 1073455721. It was assigned to this individual provider in the NPPES registry on April 9, 2026.

Q: What is Beverly Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Beverly Johnson was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 09, 2026

1520 NE RIDDELL RD # 110, BREMERTON, WA 98310(360) 228-7246(360) 228-7247 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Beverly Michelle Johnson Sudp/rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEVERLY MICHELLE JOHNSON SUDP/RN (NPI 1073455721) is an individual addiction (substance use disorder) provider in Bremerton, Washington, licensed in Washington (CO61559399) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1073455721

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameBEVERLY MICHELLE JOHNSONCredential: SUDP/RN

Location Address1520 NE RIDDELL RD # 110Bremerton, WA 98310-3005

Mailing Address1520 Ne Riddell Rd # 110Bremerton, WA 98310-3005 · (360) 228-7246 · Fax (360) 228-7247

Phone(360) 228-7246

Fax(360) 228-7247

Sole ProprietorNo

Enumeration DateApril 9, 2026

NPPES CertifiedApril 9, 2026

✔ NPI 1073455721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in WA · CO61559399

1520 NE RIDDELL RD # 110, Bremerton, WA 98310

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAYNETTE FREDERICKS LPN

Licensed Practical Nurse

1520 NE RIDDELL RD # 110
BREMERTON, WA 98310

Kitsap County (786) 518-8971

STACEY MORT

Counselor (Addiction (Substance Use Disorder))

1520 NE RIDDELL RD # 110
BREMERTON, WA 98310

Kitsap County (360) 415-5870

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beverly Johnson's NPI number?

The NPI number for Beverly Johnson is 1073455721. It was assigned to this individual provider in the NPPES registry on April 9, 2026.

Where is Beverly Johnson located?

Beverly Johnson practices at 1520 NE Riddell Rd # 110, Bremerton, WA 98310. The listed phone number is (360) 228-7246.

What is Beverly Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Beverly Johnson was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.