Prism Midwifery LLC

Primary specialty

MidwifeTaxonomy code 176B00000X

Legal business name

PRISM MIDWIFERY LLC

Practice address

3845 N Douglas Hwy
Juneau, AK 99801-6468

Phone

(907) 723-5775

Fax

(505) 393-4513

NPI assigned

Feb 16, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Johanna Crossett, CDM

Title

Midwife

Phone

(907) 723-5775

Specialties & licenses 1

Addresses

Other names 1

• Prism Midwifery LLC Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Johanna Domitilia Koranda, CDM

  • Midwife
  • Juneau, AK
  • NPI 1154481554
  NPD

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1679228837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3845 N DOUGLAS HWY",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998016468",
            "telephone_number": "907-723-5775",
            "fax_number": "505-393-4513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3845 N DOUGLAS HWY",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998016468",
            "telephone_number": "907-723-5775",
            "fax_number": "505-393-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISM MIDWIFERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "CROSSETT",
        "authorized_official_first_name": "JOHANNA",
        "authorized_official_title_or_position": "MIDWIFE",
        "authorized_official_telephone_number": "907-723-5775",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CDM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prism Midwifery LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Susan Pridgen-Webb, RN
• Priority Healthcare, LLC
• Priority Home Healthcare
• Priority Home Healthcare
• Prism Eye Associates LLC (Juneau Eye Care)
• Mitzi Larae Privett, MSW
• Progressions Alaska LLC (Progressions Physical Therapy)
• Ben Prom
• Kellee Purdy, LCSW
• Mei Qiu, LMSW

• Midwife in Juneau, AK
• Providers in Juneau, AK by specialty
• Midwife in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.