Active NPI
Kathryn Johnston, CNM
- Advanced Practice Midwife
- Bend, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 10036877
- Practice address
- 2400 NE Neff Rd Ste a
Bend, OR 97701-6752 - Phone
- (541) 389-3300
- Fax
- (541) 389-8115
- NPI assigned
- Mar 21, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 10036877 | OR | Primary |
| Advanced Practice Midwife | 367A00000X | 2022015654 | MO | |
| Advanced Practice Midwife | 367A00000X | 1424 | AK |
Addresses
Primary practice location
2400 NE Neff Rd Ste a
Bend, OR 97701-6752
Mailing address
2400 NE Neff Rd Ste a
Bend, OR 97701-6752
Phone (907) 360-6119
Other names 1
- Kathryn Marie Roberts
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK, TX, CA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Vanderbilt University School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2400 NE Neff Rd
Suite a
Bend, OR 97701-6752
Phone (541) 389-3300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maniilaq Association | Current | Accepting new patients | |
| Obhg Alaska, P.C. | Current | Accepting new patients | |
| East Cascade Womens Group, P C | Current | Accepting new patients | |
| Permanente Medical Group Inc | Current | Accepting new patients | |
| Alaska Native Tribal Health Consortium | Current | Accepting new patients | |
| Maniilaq Association | Current | Accepting new patients | |
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| Maniilaq Association | Current | Accepting new patients | |
| Permanente Medical Group Inc | Current | Accepting new patients | |
| Southcentral Foundation | Past | Accepting new patients | |
| St. Charles Health System, Inc. | Past | Accepting new patients | |
| Southcentral Foundation | Past | Accepting new patients | |
| St. Charles Health System, Inc. | Past | Accepting new patients |
Locations
4320 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-0000
3200 Providence Dr
Anchorage, AK 99508
Phone (907) 261-3111
4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729
750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131
4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738
900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014
101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
930 W Main St
Ripon, CA 95366
Phone (209) 599-4221
1650 Response Rd
Sacramento, CA 95815
Phone (916) 614-4040
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834
2400 NE Neff Rd
Ste A
Bend, OR 97701
Phone (541) 389-3300
865 SW Veterans Way
Ste 210
Redmond, OR 97756
Interoperability endpoints
- kjohnston33174@coipa.gardenplot.direct-ci.com
- https://epicproxy.et4001.epichosted.com/APIProxyPRD/ECWG/api/FHIR/R4
Organizations & group practices 13
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.
-
- Obstetrics & Gynecology Physician
- Bend, OR
- NPI 1770541609
-
- Obstetrics & Gynecology Physician
- Anchorage, AK
- NPI 1740697069
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
-
- Critical Access Hospital
- Kotzebue, AK
- NPI 1316995210
-
- Federal Public Health Clinic/Center
- Noatak, AK
- NPI 1639446362
-
- Internal Medicine Physician
- Vallejo, CA
- NPI 1336222397
-
- Clinical Medical Laboratory
- San Jose, CA
- NPI 1497971584
-
- Rehabilitation Hospital Unit
- Bend, OR
- NPI 1154343150
-
- General Acute Care Hospital
- Bend, OR
- NPI 1982621447
-
- Multi-Specialty Clinic/Center
- Anchorage, AK
- NPI 1255881637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774396800000",
"number": "1174940753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 NE NEFF RD STE A",
"city": "BEND",
"state": "OR",
"postal_code": "977016752",
"telephone_number": "907-360-6119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 NE NEFF RD STE A",
"city": "BEND",
"state": "OR",
"postal_code": "977016752",
"telephone_number": "541-389-3300",
"fax_number": "541-389-8115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "KATHRYN",
"name_prefix": "Mrs.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-21",
"last_updated": "2026-03-25",
"certification_date": "2026-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "OR",
"license": "10036877",
"primary": true
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MO",
"license": "2022015654",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "AK",
"license": "1424",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHRYN",
"last_name": "ROBERTS",
"middle_name": "MARIE",
"credential": "CNM",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.