Noah Johnson, IDMT

Primary specialty

Independent Duty Medical TechniciansTaxonomy code 1710I1003X

Practice address

280 1St St BLDG 23
Holloman AFB, NM 88330-8273

Phone

(575) 572-0205

NPI assigned

Jun 18, 2020

Last updated

Jun 18, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: noah.r.johnson20.mil@mail.mil

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1750907465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 NEW MEXICO AVE # 2058",
            "city": "HOLLOMAN AFB",
            "state": "NM",
            "postal_code": "883308286",
            "telephone_number": "317-306-6143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 1ST ST BLDG 23",
            "city": "HOLLOMAN AFB",
            "state": "NM",
            "postal_code": "883308273",
            "telephone_number": "575-572-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "NOAH",
        "credential": "IDMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-18",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "noah.r.johnson20.mil@mail.mil",
            "affiliation": "N",
            "endpointDescription": "Government Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Gov Email",
            "address_1": "280 1st St",
            "city": "Holloman AFB",
            "state": "NM",
            "country_code": "US",
            "postal_code": "883308273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Walker Jean-Philippe
• Kimberly Dawn Jensen, M.D.
• Merlin Jewell, IDMT
• Levi Johnson
• Niki Renee Johnson, RN
• Tialicka Burgos Johnson, WHNP-BC
• Tomeka Lashon Jones, DENTAL HYGIENE
• Ashley Nicole Kilby, DDS
• Abigail Marie Kildow
• Caitlin Knutson, DVM

• Independent Duty Medical Technicians in Holloman AFB, NM
• Providers in Holloman AFB, NM by specialty
• Independent Duty Medical Technicians in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; 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.