Individual provider Active NPI

Sigrid Rae Johnson, MD

  • Family Medicine Physician
  • Sweetwater, TN
National Provider Identifier
1013956432
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26067 Issued in TN
Practice address
205 Summit St
Sweetwater, TN 37874-2534
Phone
(423) 351-7000
Fax
(423) 351-7405
NPI assigned
Jun 5, 2006
Last updated
Mar 10, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 26067 TN Primary

Addresses

Primary practice location

205 Summit St
Sweetwater, TN 37874-2534

Mailing address

205 Summit St
Sweetwater, TN 37874-2534
Phone (423) 351-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061006000037 TN Practitioner - Family Practice 2567467814

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
26067TNMDNurse Practitioner

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25326/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1013956432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 SUMMIT ST",
            "city": "SWEETWATER",
            "state": "TN",
            "postal_code": "378742534",
            "telephone_number": "423-351-7000",
            "fax_number": "423-351-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SUMMIT ST",
            "city": "SWEETWATER",
            "state": "TN",
            "postal_code": "378742534",
            "telephone_number": "423-351-7000",
            "fax_number": "423-351-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SIGRID",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "26067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sweetwater, TN

Sources for this page

Verify at the official NPI Registry.