Organization Active NPI

Complete Family Healthcare Heather Johnston LLC

  • Family Nurse Practitioner
  • Salem, IN
National Provider Identifier
1265755029
Registry record updated Jul 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71002653A Issued in IN
Legal business name
COMPLETE FAMILY HEALTHCARE HEATHER JOHNSTON LLC
Practice address
7138 East State Road
160
Salem, IN 47167-7855
Phone
(812) 704-4470
Fax
(877) 717-2521
NPI assigned
Mar 9, 2010
Last updated
Jul 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2011

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

Authorized official

Name
Mrs. Heather E Johnston, ARNP
Title
Owner
Phone
(812) 704-4470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71002653A IN Primary

Addresses

Primary practice location

7138 East State Road
160
Salem, IN 47167-7855

Mailing address

PO Box 43
Hardinsburg, IN 47125-0043
Phone (812) 804-4470

Other identifiers 2

IdentifierTypeStateIssuer
200998200MedicaidIN
000000666564OtherINANTHEM

National Provider Directory

National Provider Directory

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": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310342400000",
    "number": "1265755029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43",
            "city": "HARDINSBURG",
            "state": "IN",
            "postal_code": "471250043",
            "telephone_number": "812-804-4470",
            "fax_number": "877-717-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7138 EAST STATE ROAD",
            "address_2": "160",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "471677855",
            "telephone_number": "812-704-4470",
            "fax_number": "877-717-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE FAMILY HEALTHCARE HEATHER JOHNSTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2011-07-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-704-4470",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71002653A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200998200",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000666564",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; 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.