# PATHWAY GERIATRICS RESIDENTIAL PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326979659
- **Authorized official:** STEPHANIE RAE JOHNSON ARNP (OWNER)
- **Authorized official phone:** (425) 818-5312

## Contact information

- **Practice address:** 8201 164TH AVE NE STE 325, REDMOND, WA 98052-7615
- **Practice address phone:** (425) 818-5311
- **Practice address fax:** (425) 434-1755
- **Mailing address:** 8201 164TH AVE NE STE 325, REDMOND, WA 98052-7615
- **Mailing address phone:** (425) 818-5311
- **Mailing address fax:** (425) 434-1755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/26/2026
- **Last updated:** 05/26/2026