Active NPI
Nicole April Johnston, DEM
- Lay Midwife
- Canyonville, OR
National Provider Identifier
1295982791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lay Midwife
- Practice address
- 310 Leland Ave
Canyonville, OR 97417-9789 - Phone
- (541) 530-1821
- NPI assigned
- Aug 26, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Lay Midwife | 175M00000X | Primary |
Addresses
Primary practice location
310 Leland Ave
Canyonville, OR 97417-9789
Mailing address
310 Leland Ave
Canyonville, OR 97417-9789
Phone (541) 530-1821
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219708800000",
"number": "1295982791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 LELAND AVE",
"city": "CANYONVILLE",
"state": "OR",
"postal_code": "974179789",
"telephone_number": "541-530-1821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 LELAND AVE",
"city": "CANYONVILLE",
"state": "OR",
"postal_code": "974179789",
"telephone_number": "541-530-1821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "NICOLE",
"middle_name": "APRIL",
"credential": "DEM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-26",
"last_updated": "2008-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "175M00000X",
"taxonomy_group": "",
"desc": "Midwife, Lay",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canyonville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.