Pathway Geriatrics Residential PLLC
NPI 1326979659ActiveOrganization· Nurse Practitioner, Gerontology· Redmond, WA
Nurse Practitioner, Gerontology in Redmond, Washington, registered in NPPES in May 2026. The authorized official on file is Stephanie Rae Johnson, ARNP, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1326979659 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 26, 2026 |
| Last updated in NPPES | May 26, 2026 |
| Certified by provider | May 26, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Gerontology Primary | 363LG0600X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WA) |
|---|
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