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

Courtney Lois Johnson, PA-C

Individual provider Physician Assistant · NPI 1114412459

Courtney Lois Johnson, PA-C is a Physician Assistant in Renton, Washington. Graduated from University of Missouri, Kansas City, School of Medicine in 2018, 8 years ago. Practices with Valley Medical Group-Renton, a 422-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
8
Trained at
University of Missouri, Kansas City, School of Medicine
Licensed in
WA
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4011 Talbot Rd S Ste 500
Renton, WA 98055-5782
Phone: (425) 690-3482
Fax: (425) 690-9082
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60879450 (WA)

Record details

NPI number1114412459
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 28, 2018
Last updated in NPPESJuly 25, 2023
Certification dateJuly 25, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Valley Medical Group-Renton — 422 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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