Linda R. Johnson, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

4704214498 Issued in MI

Practice address

1715 W Dean Rd
Suite C
Temperance, MI 48182-9406

Phone

(734) 847-8100

Fax

(734) 847-6824

NPI assigned

Aug 24, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

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.

• Mother'S Own Birth and Women'S Center, LLC

  • Birthing Clinic/Center
  • Temperance, MI
  • NPI 1073718607
  NPD (past) Authorized official

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332115200000",
    "number": "1720071939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 W DEAN RD",
            "address_2": "SUITE C",
            "city": "TEMPERANCE",
            "state": "MI",
            "postal_code": "481829406",
            "telephone_number": "734-847-8100",
            "fax_number": "734-847-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 W DEAN RD",
            "address_2": "SUITE C",
            "city": "TEMPERANCE",
            "state": "MI",
            "postal_code": "481829406",
            "telephone_number": "734-847-8100",
            "fax_number": "734-847-6824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LINDA",
        "middle_name": "R.",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-24",
        "last_updated": "2012-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MI",
            "license": "4704214498",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OH",
            "license": "NM04013",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104414006",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2343324",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mitchell Huss, DPT
• Michaela Jackson
• Tasha Y Jenkins, M.D.
• John a Crayne
• Andrew Charles Johnson, D.C.
• Joseph D Schwallie OD, Inc
• Navdeep Kaur
• Kristy Keaton-Baird, NP
• Erica Keith, LMSW
• Ashley King, LMSW

• All providers in Temperance, MI
• Advanced Practice Midwife in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; 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.