Individual provider Active NPI

Johanna Matilda Bond, CPM, RM

  • Midwife
  • Aurora, CO
National Provider Identifier
1457073231
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
MWR.0000217 Issued in CO
Practice address
15896 E Gunnison PL
Aurora, CO 80017-4040
Phone
(603) 340-8937
NPI assigned
Sep 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X MWR.0000217 CO Primary

Addresses

Primary practice location

15896 E Gunnison PL
Aurora, CO 80017-4040

Mailing address

15896 E Gunnison PL
Aurora, CO 80017-4040
Phone (603) 340-8937

Other names 1

  • Johanna Matilda Sung Young Shoultz Former name

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

State licenses

LicenseStateTypeSpecialty
MWR.0000217COMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1457073231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15896 E GUNNISON PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800174040",
            "telephone_number": "603-340-8937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15896 E GUNNISON PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800174040",
            "telephone_number": "603-340-8937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOND",
        "first_name": "JOHANNA",
        "middle_name": "MATILDA",
        "credential": "CPM, RM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CO",
            "license": "MWR.0000217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHANNA",
            "last_name": "SHOULTZ",
            "middle_name": "MATILDA SUNG YOUNG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.