Active NPI
Tracy Ann Johnson
- Health Educator
- Great Falls, MT
National Provider Identifier
1063957587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 1626 6TH Ave N
Great Falls, MT 59401-1720 - Phone
- (406) 899-0143
- NPI assigned
- Dec 20, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Community Health Worker | 172V00000X | |||
| Health Educator | 174H00000X | Primary |
Addresses
Primary practice location
1626 6TH Ave N
Great Falls, MT 59401-1720
Mailing address
1626 6TH Ave N
Great Falls, MT 59401-1720
Phone (406) 899-0143
Other names 1
- Tracy Ann McDonald
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Next Step Holistic Health Connection | Community Health Worker | Current | Accepting new patients |
Locations
1626 6th Ave N
Great Falls, MT 59401
Phone (406) 727-3799
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Great Falls, MT
- NPI 1235652892
Community Health Worker
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482192000000",
"number": "1063957587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1626 6TH AVE N",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594011720",
"telephone_number": "406-899-0143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1626 6TH AVE N",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594011720",
"telephone_number": "406-899-0143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "TRACY",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-20",
"last_updated": "2016-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TRACY",
"last_name": "MCDONALD",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Great Falls, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.