Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DESTINY JADE JOHNSON
NPI 1467088617
Nurse Practitioner - Psychiatric/Mental Health in Spokane, WA

Q: What is Destiny Johnson's NPI number?

The NPI number for Destiny Johnson is 1467088617. It was assigned to this individual provider in the NPPES registry on March 19, 2020.

Q: What is Destiny Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Destiny Johnson was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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 March 19, 2020PECOS Enrolled

4005 N COOK ST, SPOKANE, WA 99207(509) 530-4230 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 25, 2026, Mar 19, 2020 (2 updates tracked since 2020).

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About Destiny Jade Johnson NPPES

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

DESTINY JADE JOHNSON (NPI 1467088617) is an individual psychiatric/mental health provider in Spokane, Washington, licensed in Washington (70153342) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467088617

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameDESTINY JADE JOHNSON

Location Address4005 N COOK STSpokane, WA 99207-5879

Mailing Address4005 N Cook StSpokane, WA 99207-5879 · (509) 530-4230

Phone(509) 530-4230

Sole ProprietorNo

Enumeration DateMarch 19, 2020

Last NPPES UpdateAugust 25, 20262 updates tracked since enumeration

NPPES CertifiedAugust 25, 2026

✔ NPI 1467088617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in WA · 70153342

4005 N COOK ST, Spokane, WA 99207

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Destiny Jade Johnson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

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

AMIDY MARIE GALLAGHER

Counselor (Mental Health)