Individual provider Active NPI

Jennifer A Johnson, CNM

  • Advanced Practice Midwife
  • Nashua, NH
National Provider Identifier
1356541791
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
063694-23 Issued in NH
Practice address
168 Kinsley St Ste 20
Nashua, NH 03060-3634
Phone
(603) 883-3365
Fax
(603) 883-5758
NPI assigned
Jul 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 170449 CO
Advanced Practice Midwife 367A00000X 063694-23 NH Primary

Addresses

Primary practice location

168 Kinsley St Ste 20
Nashua, NH 03060-3634

Mailing address

C/O St Mary'S Health System - Provider Enrollment
PO Box 7291
Lewiston, ME 04243-7291
Phone (207) 777-8695

Other practice location 1

24 Pennacook St
Manchester, NH 03104-3554
Phone (603) 669-7321

Other identifiers 1

IdentifierTypeStateIssuer
3072170MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
170449COMDAdvanced Practice Midwife
063694-23NHMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Medical Center CurrentSince Dec 27, 2011 Accepting new patients
Catholic Medical Center CurrentSince Dec 27, 2011 Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Sep 10, 2018 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Jan 10, 2011 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Jan 10, 2011 Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Sep 10, 2018 Accepting new patients
Alliance Health Services CurrentSince Jan 10, 2011 Accepting new patients
York Hospital CurrentSince Oct 15, 2018 Accepting new patients
Planned Parenthood of Northern New England Past Accepting new patients
Planned Parenthood of Northern New England Past Accepting new patients
Planned Parenthood of Northern New England Past Accepting new patients

Locations

15 Hospital Dr
York, ME 03909
Phone (207) 351-2478

16 Hospital Dr
York, ME 03909
Phone (207) 351-3455

25 S River Rd
Bedford, NH 03110
Phone (603) 626-4392

5 Washington Pl
Bedford, NH 03110
Phone (603) 314-4567

253 Pleasant St
Concord, NH 03301
Phone (603) 226-2200

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931

168 Kinsley St
Ste 20
Nashua, NH 03060
Phone (603) 880-3541

168 Kinsley St
Ste 19
Nashua, NH 03060
Phone (603) 595-3951

166 Kinsley St
Ste 201
Nashua, NH 03060
Phone (603) 880-9177

172 Kinsley St
Nashua, NH 03060
Phone (603) 595-3926

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1356541791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C/O ST MARY'S HEALTH SYSTEM - PROVIDER ENROLLMENT",
            "address_2": "PO BOX 7291",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042437291",
            "telephone_number": "207-777-8695",
            "fax_number": "207-777-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 KINSLEY ST STE 20",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603634",
            "telephone_number": "603-883-3365",
            "fax_number": "603-883-5758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Pennacook St",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031043554",
            "country_code": "US",
            "telephone_number": "603-669-7321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CO",
            "license": "170449",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NH",
            "license": "063694-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3072170",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.