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NICOLE JOHNSON
NPI 1104703313
Licensed Vocational Nurse in Lynnwood, WA

Active since August 19, 2025
2322 196TH ST SW, LYNNWOOD, WA 98036(425) 984-0788 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Johnson NPPES

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

NICOLE JOHNSON (NPI 1104703313) is an individual licensed vocational nurse in Lynnwood, Washington, licensed in Texas (335371) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1104703313
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameNICOLE JOHNSON
Location Address2322 196TH ST SWLynnwood, WA 98036-7010
Mailing Address20043 Forest Park Dr NeShoreline, WA 98155-1139 · (254) 768-3870 · Fax (254) 768-3870
Phone(425) 984-0788
Sole ProprietorNo
Enumeration DateAugust 19, 2025
Last NPPES UpdateAugust 25, 2025
NPPES CertifiedAugust 25, 2025
✔ NPI 1104703313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License✔ Licensed in TX · 335371
Definition
A licensed vocational nurse 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
2322 196TH ST SW, Lynnwood, WA 98036
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Other Providers at the Same Location NPPES 16

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

DONALD KENNETH JENSEN
Counselor (Addiction (Substance Use Disorder))
2322 196TH ST SW
LYNNWOOD, WA 98036
Snohomish County (425) 984-0788
BRIANA CALEY WALSH LPN
Licensed Practical Nurse
2322 196TH ST SW
LYNNWOOD, WA 98036
Snohomish County (254) 984-0788
MELISSA MARIE ZIMMERMAN SUDPT
Counselor (Addiction (Substance Use Disorder))
2322 196TH ST SW
LYNNWOOD, WA 98036
Snohomish County (425) 984-0788
MR. JUSTIN ALVIS CO 61326791
Counselor (Addiction (Substance Use Disorder))
2322 196TH ST SW
LYNNWOOD, WA 98036
Snohomish County (414) 269-4335
NYKELIA HAMMOND
Licensed Practical Nurse
2322 196TH ST SW
LYNNWOOD, WA 98036
Snohomish County (425) 984-0788
JENNIFER SANCHEZ
Licensed Practical Nurse
2322 196TH ST SW
LYNNWOOD, WA 98036
Snohomish County (425) 672-7293
MR. ROBERT TRINDLE JR. SUDP
Counselor (Addiction (Substance Use Disorder))
2322 196TH ST SW
LYNNWOOD, WA 98036
Snohomish County (425) 984-0788
MRS. VALARIE DENISE NDIFON LPN
Licensed Vocational Nurse
2322 196TH ST SW
LYNNWOOD, WA 98036
Snohomish County (425) 984-0788

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 Nicole Johnson's NPI number?

The NPI number for Nicole Johnson is 1104703313. It was assigned to this individual provider in the NPPES registry on August 19, 2025.

Where is Nicole Johnson located?

Nicole Johnson practices at 2322 196th St SW, Lynnwood, WA 98036. The listed phone number is (425) 984-0788.

What is Nicole Johnson's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Nicole Johnson was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.