Individual provider Active NPI

Sojnia Irene Johnson, NP

  • Family Nurse Practitioner
  • Monticello, KY
National Provider Identifier
1457968406
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3015122 Issued in KY
Practice address
166 Hospital St
Monticello, KY 42633-2416
Phone
(606) 340-3251
NPI assigned
Sep 24, 2020
Last updated
Feb 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3015122 KY Primary

Addresses

Primary practice location

166 Hospital St
Monticello, KY 42633-2416

Mailing address

166 Hospital St
Monticello, KY 42633-2430
Phone (606) 340-3251

Other practice location 1

268 Rolling Hills Blvd
Monticello, KY 42633-9004
Phone (606) 753-0293

Other identifiers 1

IdentifierTypeStateIssuer
7100705410MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201119000593 KY Practitioner - Nurse Practitioner 5395156590 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wayne County Hospital IncGroup PAC ID 7113814740, 15 clinicians
Lake Cumberland Pediatrics PLLCGroup PAC ID 3375828379, 10 clinicians

Practice addresses (Care Compare)

166 Hospital St
Monticello, KY 42633-2416

268 Rolling Hills Blvd
Monticello, KY 42633-9004
Phone (606) 753-0293

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3015122KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Cumberland Pediatrics PLLC Family CurrentSince Jan 23, 2024 Accepting new patients
Wayne County Hospital, Inc Family CurrentSince Nov 2, 2020 Accepting new patients
Wayne County Hospital, Inc CurrentSince Nov 2, 2020 Accepting new patients

Locations

166 Hospital St
Monticello, KY 42633
Phone (606) 340-3251

268 Rolling Hills Blvd
Monticello, KY 42633
Phone (606) 688-3112

Interoperability endpoints

  • Direct secure messaging: sojnia.johnson.1@16416.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1457968406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 HOSPITAL ST",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426332430",
            "telephone_number": "606-340-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 HOSPITAL ST",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426332416",
            "telephone_number": "606-340-3251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "268 Rolling Hills Blvd",
            "address_purpose": "LOCATION",
            "city": "Monticello",
            "state": "KY",
            "postal_code": "426339004",
            "country_code": "US",
            "telephone_number": "606-753-0293",
            "fax_number": "606-753-0291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SOJNIA",
        "middle_name": "IRENE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-24",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3015122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100705410",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, KY

Sources for this page

Verify at the official NPI Registry.