Teresa Kay Johnson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M-8742 Issued in ID

Practice address

298 1St St
Idaho Falls, ID 83401-3966

Phone

(208) 529-2544

Fax

(208) 529-3771

NPI assigned

Aug 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Utah School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Council of Idaho, Inc.Group PAC ID 6204877467, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Eden Home Health -Idahofalls Home health agency, Idaho Falls, ID, CCN 137119
• Advanced Home Health Home health agency, Idaho Falls, ID, CCN 137116
• Symbii Home Health Home health agency, Chubbuck, ID, CCN 137110
• Aspen Home Health Services Home health agency, Idaho Falls, ID, CCN 137081
• Enhabit Home Health of Eastern Idaho Home health agency, Idaho Falls, ID, CCN 137105
• Mountain View Hospital Hospital, Idaho Falls, ID, CCN 130065
• Eastern Idaho Regional Medical Center Hospital, Idaho Falls, ID, CCN 130018

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: teresa.johnson.2@15857.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/15857/brand/1/csg/1/fhir/r4
• Direct secure messaging: teresa.johnson.1@16437.direct.athenahealth.com

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.

• Community Council of Idaho, Inc

  • Federally Qualified Health Center (FQHC)
  • Idaho Falls, ID
  • NPI 1710925250

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Total Family Medicine PLLC

  • Specialist
  • Idaho Falls, ID
  • NPI 1093965212

  Family Medicine

  Medicare reassignment NPD Authorized official
• Community Council of Idaho, Inc.

  • Federally Qualified Health Center (FQHC)
  • Rigby, ID
  • NPI 1710664834

  Family Medicine

  NPD
• Eagle Rock Regional Neurology, P.C.

  • Neurology Physician
  • Idaho Falls, ID
  • NPI 1710053756
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Advanced Home Health and Hospice

  • Home Health Agency
  • Idaho Falls, ID
  • NPI 1366686826
  Care Compare affiliation
• Advanced Home Health and Hospice

  • Home Health Agency
  • Pocatello, ID
  • NPI 1457858052
  Care Compare affiliation
• Eastern Idaho Health Services Inc

  • General Acute Care Hospital
  • Idaho Falls, ID
  • NPI 1225082209
  Care Compare affiliation
• Eden Home Health of Idaho Falls, LLC

  • Home Health Agency
  • Idaho Falls, ID
  • NPI 1649683582
  Care Compare affiliation
• Eh Home Health of the West, LLC

  • Home Health Agency
  • Idaho Falls, ID
  • NPI 1700167400
  Care Compare affiliation
• Mountain View Hospital LLC

  • General Acute Care Hospital
  • Idaho Falls, ID
  • NPI 1669462362
  Care Compare affiliation
• The Aspen Group, Inc.

  • Home Health Agency
  • Idaho Falls, ID
  • NPI 1083760185
  Care Compare affiliation
• Whitewater Healthcare LLC

  • Home Health Agency
  • Chubbuck, ID
  • NPI 1477177921
  Care Compare affiliation

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1285642322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 1ST ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834013966",
            "telephone_number": "208-529-2544",
            "fax_number": "208-529-3771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 1ST ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834013966",
            "telephone_number": "208-529-2544",
            "fax_number": "208-529-3771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "298 1st St",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834013966",
            "country_code": "US",
            "telephone_number": "208-529-2544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TERESA",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-8742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806599100",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Bradford Johnson, MD
• Olivia Anne Johnson, RBT
• Samuel Pennington Johnson, NP
• Shannon Kay Johnson, LMSW
• Shelby Johnson
• Tyler L Johnson, DPT
• Alexandra Marshalle Johnston
• Angela Kirsten Johnston, NP-C
• Marjorie Marie Johnston
• Jones Eye Care, PLLC

• Family Medicine Physician in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.

Verify at the official NPI Registry.