Active NPI
Jennifer A Johnson, CNM
- Advanced Practice Midwife
- Nashua, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 063694-23
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3072170 | Medicaid | NH |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 170449 | CO | MD | Advanced Practice Midwife |
| 063694-23 | NH | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Medical Center | Current | Accepting new patients | |
| Catholic Medical Center | Current | Accepting new patients | |
| St Joseph Hospital of Nashua NH | Current | Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Current | Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Current | Accepting new patients | |
| St Joseph Hospital of Nashua NH | Current | Accepting new patients | |
| Alliance Health Services | Current | Accepting new patients | |
| York Hospital | Current | 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.
-
- Family Medicine Physician
- Bedford, NH
- NPI 1891859419
-
- Anesthesiology Physician
- Manchester, NH
- NPI 1003692112
-
- General Acute Care Hospital
- Manchester, NH
- NPI 1427154335
-
- Family Medicine Physician
- Manchester, NH
- NPI 1386697803
-
- Internal Medicine Physician
- Lebanon, NH
- NPI 1548210198
-
- General Acute Care Hospital
- Nashua, NH
- NPI 1093787384
-
- Urgent Care Clinic/Center
- Milford, NH
- NPI 1437758679
-
- General Acute Care Hospital
- York, ME
- NPI 1376528398
-
- Non-Pharmacy Dispensing Site
- Manchester, NH
- NPI 1225429483
-
- Non-Pharmacy Dispensing Site
- Portland, ME
- NPI 1467843946
-
- Non-Pharmacy Dispensing Site
- Barre, VT
- NPI 1851782015
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.