Individual provider Active NPI

Johanna Tyson Allen Arntzen, CNM

  • Advanced Practice Midwife
  • New York, NY
National Provider Identifier
1831796721
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Practice address
4781 Broadway
New York, NY 10034-4915
Phone
(212) 304-6920
NPI assigned
Oct 5, 2020
Last updated
Aug 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice MidwifeGroup: 193200000X MULTI-SPECIALTY GROUP 367A00000X Primary

Addresses

Primary practice location

4781 Broadway
New York, NY 10034-4915

Mailing address

2106 23Rd Ave Apt 3D
Astoria, NY 11105-3456
Phone (253) 906-0221

Other names 1

  • Johanna Tyson Allen 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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260127000636 WA Practitioner - Certified Nurse Midwife (CNM) 8921469370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

521 Martin Luther King Jr Way
Tacoma, WA 98405-4238
Phone (253) 403-2900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002058NYMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Multi-Specialty CurrentSince Dec 12, 2025 Accepting new patients
Multicare Health System CurrentSince Dec 12, 2025 Accepting new patients
Multicare Health System Multi-Specialty Past Accepting new patients
The New York and Presbyterian Hospital PastSince Aug 6, 2023 Accepting new patients

Locations

521 S K St
Tacoma, WA 98405
Phone (253) 403-2900

3124 S 19th St
Ste C140
Tacoma, WA 98405
Phone (253) 792-6680

1112 6th Ave
#305
Tacoma, WA 98405
Phone (253) 792-6675

Interoperability endpoints

  • Direct secure messaging: nil9101@direct.nyp.org

Organizations & group practices 5

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.

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": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1831796721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 23RD AVE APT 3D",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111053456",
            "telephone_number": "253-906-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4781 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100344915",
            "telephone_number": "212-304-6920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN ARNTZEN",
        "first_name": "JOHANNA",
        "middle_name": "TYSON",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-05",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHANNA",
            "last_name": "ALLEN",
            "middle_name": "TYSON",
            "credential": "CNM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.