Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrea Johansen

Individual provider Family Nurse Practitioner · NPI 1720764731

Andrea Johansen is a Nurse Practitioner in Kent, Washington. Qualified in 2024, 2 years ago. Practices with Peacehealth Networks on Demand LLC, a 201-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
2
Licensed in
WA
In the registry since
2023
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Practice location Address checks out

20618 142nd Ave SE
Kent, WA 98042-3066
Phone: (415) 891-5110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP61590871 (WA)

Record details

NPI number1720764731
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 26, 2023
Last updated in NPPESAugust 17, 2024
Certification dateAugust 17, 2024
Mailing address20618 142nd Ave Se, Kent, WA 98042-3066

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Peacehealth Networks On Demand Llc — 201 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Kent