Individual provider Active NPI

Amy Johnson, CNM

  • Advanced Practice Midwife
  • St Petersburg, FL
National Provider Identifier
1780633172
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
1857322 Issued in FL
Practice address
6450 38TH Ave N
Suite 200
Saint Petersburg, FL 33710-1645
Phone
(727) 344-6060
Fax
(727) 347-5586
NPI assigned
May 10, 2006
Last updated
Mar 27, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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 1857322 FL Primary

Addresses

Primary practice location

6450 38TH Ave N
Suite 200
Saint Petersburg, FL 33710-1645

Mailing address

6450 38TH Ave N
Suite 200
Saint Petersburg, FL 33710-1645
Phone (727) 344-6060

Other identifiers 1

IdentifierTypeStateIssuer
302351600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111130000779 FL Practitioner - Certified Nurse Midwife (CNM) 1850565870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Coast Neonatology, IncGroup PAC ID 0446387641, 17 clinicians

Practice addresses (Care Compare)

501 6TH Ave S
Saint Petersburg, FL 33701-4634

5959 Central Ave
Suite 103
St Petersburg, FL 33710-8502
Phone (727) 767-6060

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1857322FLMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ajohnson189221@orlandohealth.medalliesdirect.net
  • Direct secure messaging: ajohnson743306@direct.hopkinsmedicine.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1780633172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6450 38TH AVE N",
            "address_2": "SUITE 200",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337101645",
            "telephone_number": "727-344-6060",
            "fax_number": "727-347-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 38TH AVE N",
            "address_2": "SUITE 200",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337101645",
            "telephone_number": "727-344-6060",
            "fax_number": "727-347-5586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AMY",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "1857322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "302351600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.