MS. ROBERTA LYNN JOHNSON LPN
NPI 1780182584
Licensed Practical Nurse in Tacoma, WA

Q: What is Roberta Johnson's NPI number?

The NPI number for Roberta Johnson is 1780182584. It was assigned to this individual provider in the NPPES registry on January 26, 2018. The provider is also known as Bobbie Stacey.

Q: What is Roberta Johnson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Roberta Johnson was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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 January 26, 2018

INTREPID SPIRIT CENTER 90390 GARDNER LOOP, TACOMA, WA 98431(253) 968-9017 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Ms. Roberta Lynn Johnson Lpn NPPES

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

MS. ROBERTA LYNN JOHNSON LPN (NPI 1780182584) is an individual licensed practical nurse in Tacoma, Washington, licensed in Washington (LPN00047974) and active in the NPI registry since January 2018. She maintains a secondary practice location in Tacoma.

NPPES Registry Identity

NPI1780182584

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMS. ROBERTA LYNN JOHNSONCredential: LPN

Location AddressINTREPID SPIRIT CENTER 90390 GARDNER LOOPTacoma, WA 98431-0001

Mailing Address8634 Quinault Dr NeOlympia, WA 98516-5826 · (360) 789-5261

Phone(253) 968-9017

Sole ProprietorNo

Enumeration DateJanuary 26, 2018

Last NPPES UpdateMarch 17, 2018

✔ NPI 1780182584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in WA · LPN00047974

Definition

A licensed practical 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. Requirements for education, experience, licensure, and job responsibilities vary among the states.

INTREPID SPIRIT CENTER 90390 GARDNER LOOP, Tacoma, WA 98431

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Other Names 1

Other Name (5)Bobbie Stacey

Secondary Practice Location 1

Location 1Madigan Army Medical Center, 9040 JacksonAve, ATTN: MCHJ-CLQ-CTacoma, WA 98431-1100 · Phone (253) 960-9017

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 Roberta Johnson's NPI number?

The NPI number for Roberta Johnson is 1780182584. It was assigned to this individual provider in the NPPES registry on January 26, 2018. The provider is also known as Bobbie Stacey.

Where is Roberta Johnson located?

Roberta Johnson practices at Intrepid Spirit Center 90390 Gardner Loop, Tacoma, WA 98431. The listed phone number is (253) 968-9017.

What is Roberta Johnson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Roberta Johnson was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.