Kaede Johnson

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

Practice address

3112 N Mountain View Dr
Farmington, NM 87401-4011

Phone

(831) 402-9404

NPI assigned

Jun 21, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Nurse Midwife (CNM)

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Maine Coast Regional Health FacilitiesGroup PAC ID 1052208113, 73 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northern Light Maine Coast Hospital Hospital, Ellsworth, ME, CCN 200050

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

Practice roles

Locations

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.

• Maine Coast Regional Health Facilities

  • General Acute Care Hospital
  • Ellsworth, ME
  • NPI 1740249739
  Medicare reassignment Care Compare group NPD
• The Blue Hill Memorial Hospital

  • Critical Access Hospital
  • Blue Hill, ME
  • NPI 1023057809
  Medicare reassignment NPD
• Maine Coast Regional Health Facilities

  • Internal Medicine Physician
  • Ellsworth, ME
  • NPI 1598152035
  NPD
• The Blue Hill Memorial Hospital

  • Critical Access Hospital
  • Blue Hill, ME
  • NPI 1023272853
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Maine Coast Regional Health Facilities

  • General Acute Care Hospital
  • Ellsworth, ME
  • NPI 1740249739
  Care Compare affiliation

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

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1083458368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3112 N MOUNTAIN VIEW DR",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874014011",
            "telephone_number": "831-402-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3112 N MOUNTAIN VIEW DR",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874014011",
            "telephone_number": "831-402-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KAEDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jalisa Johnhat
• Johnson & Montoya Dental, PC
• Adam Crandall Johnson, M.D.
• Alisha Johnson
• Cheryl E Johnson, LBSW
• Kierra Johnson
• Kimberly Dale Johnson, MD
• Leroy Louis Johnson, CSW
• Mois A Johnson, NP
• Mona Lisa Johnson

• Advanced Practice Midwife in Farmington, NM
• Providers in Farmington, NM by specialty
• Advanced Practice Midwife in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.