Individual provider Active NPI

Heather J Johnson, CNM - ARNP

  • Advanced Practice Midwife
  • Richland, WA
National Provider Identifier
1699196139
Registry record updated Oct 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AP60595031 Issued in WA
Practice address
945 Goethals Drive, Ste 200
Kadlec Clinic Associated Physicians for Women
Richland, WA 99352
Phone
(509) 942-2555
Fax
(509) 942-2340
NPI assigned
Dec 31, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X AP60595031 WA Primary

Addresses

Primary practice location

945 Goethals Drive, Ste 200
Kadlec Clinic Associated Physicians for Women
Richland, WA 99352

Mailing address

560 Gage Blvd
Ste 203
Richland, WA 99352
Phone (509) 942-3627

Other names 1

  • Heather J Ewoldt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20151209002565 WA Practitioner - Nurse Practitioner 3678874054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Oregon Health Sciences University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kadlec Regional Medical CenterGroup PAC ID 9739098617, 402 clinicians

Practice addresses (Care Compare)

945 Goethals Dr
Suite 200
Richland, WA 99352-3552
Phone (509) 942-2555

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Kadlec Regional Medical Center CurrentSince Jan 11, 2016 Accepting new patients
Kadlec Regional Medical Center CurrentSince Jan 11, 2016 Accepting new patients

Locations

900 Stevens Dr
Ste 203
Richland, WA 99352
Phone (509) 942-2555

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

969 Stevens Dr
Ste 3A
Richland, WA 99352
Phone (509) 713-1315

945 Goethals Dr
Ste 200
Richland, WA 99352
Phone (509) 942-2555

1135 Jadwin Ave
Richland, WA 99352
Phone (509) 942-3300

560 Gage Blvd
Ste 203
Richland, WA 99352
Phone (509) 942-3135

Organizations & group practices 2

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.

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": "1388448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446163200000",
    "number": "1699196139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 GAGE BLVD",
            "address_2": "STE 203",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "99352",
            "telephone_number": "509-942-3627",
            "fax_number": "509-942-2268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 GOETHALS DRIVE, STE 200",
            "address_2": "KADLEC CLINIC ASSOCIATED PHYSICIANS FOR WOMEN",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "99352",
            "telephone_number": "509-942-2555",
            "fax_number": "509-942-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "HEATHER",
        "middle_name": "J",
        "credential": "CNM - ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-31",
        "last_updated": "2015-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WA",
            "license": "AP60595031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "EWOLDT",
            "middle_name": "J",
            "credential": "CNM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richland, WA

Sources for this page

Verify at the official NPI Registry.