Active NPI
Annette Isom Johnson, CNM
- Advanced Practice Midwife
- Heber City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 263590-4402
- Practice address
- 30 E 3000 S
Heber City, UT 84032-3646 - Phone
- (435) 657-0945
- NPI assigned
- Nov 19, 2009
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 263590-4402 | UT | Primary |
Addresses
Primary practice location
30 E 3000 S
Heber City, UT 84032-3646
Mailing address
30 E 3000 S
Heber City, UT 84032-3646
Phone (435) 657-0945
Other names 1
- Annette Johnson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1105 W 1000
Salt Lake City, UT 84116-2135
Phone (801) 364-2434
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| Ihc Health Services Inc | Past | Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
900 Round Valley Dr
Ste 200
Park City, UT 84060
Phone (435) 658-7246
5121 S Cottonwood St
Ste 170
Salt Lake City, UT 84107
Phone (801) 507-7070
370 Ninth Ave
Ste 101
Slc, UT 84103
Phone (801) 408-2999
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
5373 W Lake Park Blvd
West Valley City, UT 84120
Phone (801) 902-7940
Organizations & group practices 7
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.
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- NPI 1114321981
-
- Medical Oncology Physician
- Salt Lake City, UT
- NPI 1679867477
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Diagnostic Radiology Physician
- Salt Lake City, UT
- NPI 1598169419
-
- Dermatology Physician
- Farmington, UT
- NPI 1649724139
-
- Multi-Specialty Clinic/Center
- Orem, UT
- NPI 1588601124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280102400000",
"number": "1871821496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 E 3000 S",
"city": "HEBER CITY",
"state": "UT",
"postal_code": "840323646",
"telephone_number": "435-657-0945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 E 3000 S",
"city": "HEBER CITY",
"state": "UT",
"postal_code": "840323646",
"telephone_number": "435-657-0945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "ANNETTE",
"middle_name": "ISOM",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-19",
"last_updated": "2010-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "UT",
"license": "263590-4402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNETTE",
"last_name": "JOHNSON",
"credential": "CNM",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Heber City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.