Individual provider Active NPI

Rebecca Sue Johnson, MD

  • Obstetrics & Gynecology Physician
  • Kansas City, MO
National Provider Identifier
1275510703
Registry record updated Feb 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
R3E15 Issued in MO
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, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
202096814MedicaidMO

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

LicenseStateTypeSpecialty
R3E15MOMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.