Healthcare Provider Details

I. General information

NPI: 1013795459
Provider Name (Legal Business Name): KAYLA MARIE JOHNSON ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2023
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 CALIFORNIA ST STE 1400
SAN FRANCISCO CA
94104-2116
US

IV. Provider business mailing address

13303 NE 175TH ST UNIT A
WOODINVILLE WA
98072-8503
US

V. Phone/Fax

Practice location:
  • Phone: 855-527-1850
  • Fax:
Mailing address:
  • Phone: 425-516-7894
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP61482078
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: