Organization Active NPI

Total Family Medicine PLLC

Doing business as Teresa Kay Johnson MD

  • Specialist
  • Idaho Falls, ID
National Provider Identifier
1093965212
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
M8742 Issued in ID
Legal business name
TOTAL FAMILY MEDICINE PLLC
Doing business as
Teresa Kay Johnson MD
Practice address
298 1St St
Idaho Falls, ID 83401-3966
Phone
(208) 529-2544
NPI assigned
Sep 24, 2008
Last updated
Apr 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Authorized official

Name
Teresa Kay Johnson, MDNPI 1285642322
Title
Sole Owner
Phone
(208) 529-2544

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X M8742 ID Primary

Addresses

Primary practice location

298 1St St
Idaho Falls, ID 83401-3966

Mailing address

298 1St St
Idaho Falls, ID 83401-3966
Phone (208) 529-2544

Other identifiers 1

IdentifierTypeStateIssuer
806599100MedicaidID

Other names 1

  • Teresa Kay Johnson MD Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081117000663 ID Part B Supplier - Clinic/Group Practice 6305904400 Receives reassigned benefits from 1 practitioner
Practice locations: Idaho Falls, ID

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
13D1016022Total Family Medicine298 1St St, Idaho Falls, ID 83401Provider-performed microscopySep 8, 2027

National Provider Directory

National Provider Directory

Locations

1995 E 17th St
Ste 5
Idaho Falls, ID 83404
Phone (208) 529-2544

298 1st St
Idaho Falls, ID 83401
Phone (208) 529-2544

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15857/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1093965212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 1ST ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834013966",
            "telephone_number": "208-529-2544",
            "fax_number": "208-529-3771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 1ST ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834013966",
            "telephone_number": "208-529-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "208-529-2544",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ID",
            "license": "M8742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806599100",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Teresa Kay Johnson MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.