Active NPI
Dorothy V Johnson, RNC,MSN,ANP
- Women's Health Nurse Practitioner
- Raytown, MO
National Provider Identifier
1831229525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 046946
- Practice address
- 6303 Evanston Ave
Raytown, MO 64133-4929 - Phone
- (816) 356-4325
- Fax
- (816) 353-5433
- NPI assigned
- Mar 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 046946 | MO | Primary |
Addresses
Primary practice location
6303 Evanston Ave
Raytown, MO 64133-4929
Mailing address
6303 Evanston Ave
Raytown, MO 64133-4929
Phone (816) 356-4325
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100281820A | Medicaid | KS | |
| 523566107 | Medicaid | MO | |
| 100281820B | Medicaid | KS | |
| 06215014 | Other | MO | BCBS OF KC GRP PROVIDER # |
| 100216210A | Medicaid | KS | |
| 427865621 | Medicaid | MO | |
| 09841038 | Other | MO | BCBS OF KC PERF PROV ID # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046946 | MO | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245888000000",
"number": "1831229525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6303 EVANSTON AVE",
"city": "RAYTOWN",
"state": "MO",
"postal_code": "641334929",
"telephone_number": "816-356-4325",
"fax_number": "816-353-5433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6303 EVANSTON AVE",
"city": "RAYTOWN",
"state": "MO",
"postal_code": "641334929",
"telephone_number": "816-356-4325",
"fax_number": "816-353-5433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "DOROTHY",
"middle_name": "V",
"credential": "RNC,MSN,ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2009-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "MO",
"license": "046946",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100281820A",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "523566107",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100281820B",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF KC GRP PROVIDER #",
"identifier": "06215014",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100216210A",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "427865621",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF KC PERF PROV ID #",
"identifier": "09841038",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raytown, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.