Active NPI
Rebecca Sue Johnson, MD
- Obstetrics & Gynecology Physician
- Kansas City, MO
National Provider Identifier
1275510703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- R3E15
- Practice address
- 6400 Prospect Ave
#598
Kansas City, MO 64132-1100 - Phone
- (816) 444-6888
- Fax
- (816) 444-1375
- NPI assigned
- Dec 27, 2005
- Last updated
- Feb 12, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | R3E15 | MO | Primary |
Addresses
Primary practice location
6400 Prospect Ave
#598
Kansas City, MO 64132-1100
Mailing address
6400 Prospect Ave
#598
Kansas City, MO 64132-1100
Phone (816) 444-6888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202096814 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R3E15 | MO | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Womens Healthcare, PC | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
2800 E Rock Haven Rd
Harrisonville, MO 64701
Phone (816) 380-3474
2340 E Meyer Blvd
Ste 598
Kansas City, MO 64132
Phone (816) 444-6888
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics & Gynecology Physician
- Kansas City, MO
- NPI 1336231026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265932800000",
"number": "1275510703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 PROSPECT AVE",
"address_2": "#598",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641321100",
"telephone_number": "816-444-6888",
"fax_number": "816-444-1375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 PROSPECT AVE",
"address_2": "#598",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641321100",
"telephone_number": "816-444-6888",
"fax_number": "816-444-1375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "REBECCA",
"middle_name": "SUE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-27",
"last_updated": "2010-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MO",
"license": "R3E15",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202096814",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.