Martha Stacy Johnson, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

71015636A Issued in IN

Practice address

702 W Alto Rd
Kokomo, IN 46902-4907

Phone

(317) 876-3699

NPI assigned

Jul 27, 2024

Last updated

Oct 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24167/brand/1/csg/1/fhir/r4
• Direct secure messaging: martha.johnson.1@24167.direct.athenahealth.com

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.

• Jane Pauley Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Indianapolis, IN
  • NPI 1730488818
  Medicare reassignment NPD
• Turning Point Soc, Inc.

  • Community/Behavioral Health Agency
  • Kokomo, IN
  • NPI 1760066476
  Medicare reassignment NPD
• Family Psychiatric Center LLC

  dba Donald Roegner MD

  • Psychiatry Physician
  • Kokomo, IN
  • NPI 1245302934

  Psychiatric/Mental Health

  NPD
• Mending Minds, LLC

  • Psychiatry Physician
  • Indianapolis, IN
  • NPI 1780258798
  NPD

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

{
    "created_epoch": "1722038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1912736141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 W ALTO RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469024907",
            "telephone_number": "317-876-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 W ALTO RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469024907",
            "telephone_number": "317-876-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARTHA",
        "middle_name": "STACY",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-27",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71015636A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Hunter Johnson, DDS MS
• Jennifer E Johnson, MS, OTR
• Jennifer Lynn Johnson, LCSW
• Kristen Kaye Johnson
• Margaret Dorothy Johnson, PTA
• Megan Johnson
• Melanie Ann Johnson, LCSW
• Philip Gabriel Johnson, M.D.
• Savanah Johnson
• Savannah Elizabeth Johnson, MA

• Psychiatric/Mental Health Nurse Practitioner in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.