The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Klamath Falls and Oregon

18 active clinicians are listed under Licensed Practical Nurse with a practice address in Klamath Falls, OR (725 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Klamath Falls

0% of these 18 clinicians have the CMS telehealth indicator.

0% of these 18 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-10-07

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES OR 10025020

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events

📍

Updated Practice Location October 07, 2025

Registered at 3305 SUNSHINE PL, KLAMATH FALLS, OR 976037059 (Tel: 5307740285)

📍

Updated Business Mailing Address October 07, 2025

Registered at 3305 SUNSHINE PL, KLAMATH FALLS, OR 976037059 (Tel: 5307740285)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2025

Licensed Practical Nurse (license number reported to NPPES: OR 10025020)

📍

Updated Business Mailing Address December 30, 2021

Registered at 2545 N ELDORADO AVE, KLAMATH FALLS, OR 976016423 (Tel: 5418833471)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 30, 2021

Counselor

✅

NPI Profile Active December 01, 2021

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) December 01, 2021

Registered at 2545 N ELDORADO AVE, KLAMATH FALLS, OR 976016423 (Tel: 5415394954)

📍

Business Mailing Address (Initial Record) December 01, 2021

Registered at 9014 BIG PINE WAY, KLAMATH FALLS, OR 976019007 (Tel: 5597655536)

👤

Provider Name / Credentials (Initial Record) December 01, 2021

Recorded as IVY JOHANSON

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2021

Case Manager/Care Coordinator

🟢

Initial NPI Registration & Enumeration December 01, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1346908928

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 01, 2021

Last Update: October 07, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3305 Sunshine Pl

Klamath Falls, OR 976037059

Phone: 5307740285

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.