Matthew Philip Johnston, ARNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

3540 Issued in HI

Practice address

1178 Kinoole St
Hilo, HI 96720-7206

Phone

(083) 338-3600

NPI assigned

Jun 19, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• All About You Urgent Care

  • Urgent Care Clinic/Center
  • Bowling Green, KY
  • NPI 1124303847
  NPD (past)
• Jones Medical Corp

  • Family Medicine Physician
  • Owensboro, KY
  • NPI 1366765034
  NPD (past)

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1134482755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-5751 KUAKINI HWY STE 203",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401753",
            "telephone_number": "808-333-3600",
            "fax_number": "808-961-5167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1178 KINOOLE ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967207206",
            "telephone_number": "083-338-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "MATTHEW",
        "middle_name": "PHILIP",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-19",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3007618",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "HI",
            "license": "3540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100215240",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS WALMART MILLE",
            "identifier": "000000781639",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE-BAPTIST HEALTH MADISONVILLE INC",
            "identifier": "P01105256",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TROVER",
            "identifier": "000000781754",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "3540",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madalyn Johnson, DDS
• Matthew Philip Johnson, LMHC
• Royal Gary Johnson, M.D.
• Stephen Otto Johnson
• William Johnson, LMT
• Jonathan Moss, Caregiving
• Ariel Tovah Jones, ND
• Jahni Jordan
• Cheryl Jorgensen, LMHC
• Sarah Jo Josef

• Primary Care Nurse Practitioner in Hilo, HI
• Providers in Hilo, HI by specialty
• Primary Care Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.