Active NPI
Kathleen Johnson, RN
- Adult Companion
- Big Rapids, MI
National Provider Identifier
1497071641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- License
- 4704134887
- Practice address
- 208 Maple St.,
Apt. 208
Big Rapids, MI 49307 - Phone
- (231) 796-8594
- NPI assigned
- Apr 13, 2010
- 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 |
|---|---|---|---|---|
| Adult Companion | 372600000X | 4704134887 | MI | Primary |
Addresses
Primary practice location
208 Maple St.,
Apt. 208
Big Rapids, MI 49307
Mailing address
208 Maple St Apt 209
Big Rapids, MI 49307-1885
Phone (231) 796-8594
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704134887 | MI | MD | Adult Companion |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271116800000",
"number": "1497071641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 MAPLE ST APT 209",
"city": "BIG RAPIDS",
"state": "MI",
"postal_code": "493071885",
"telephone_number": "231-796-8594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 MAPLE ST.,",
"address_2": "APT. 208",
"city": "BIG RAPIDS",
"state": "MI",
"postal_code": "49307",
"telephone_number": "231-796-8594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "KATHLEEN",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-13",
"last_updated": "2010-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "MI",
"license": "4704134887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Big Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.