Active NPI
Jenna Marie Darnell Johnson, HIS
- Specialist
- Kalispell, MT
National Provider Identifier
1962787903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- HAD387
- Practice address
- 10 Three Mile Dr
Kalispell, MT 59901-3034 - Phone
- (406) 257-2273
- NPI assigned
- Oct 20, 2011
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | HAD387 | MT | Primary |
Addresses
Primary practice location
10 Three Mile Dr
Kalispell, MT 59901-3034
Mailing address
10 Three Mile Dr
Kalispell, MT 59901-3034
Phone (406) 257-2273
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HAD387 | MT | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moore Hearing, PC | Past | Accepting new patients | |
| Audiology Distribution, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Audiologist-Hearing Aid Fitter
- Kalispell, MT
- NPI 1588108286
-
- Audiologist-Hearing Aid Fitter
- Dublin, OH
- NPI 1164707998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598486400000",
"number": "1962787903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 THREE MILE DR",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599013034",
"telephone_number": "406-257-2273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 THREE MILE DR",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599013034",
"telephone_number": "406-257-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JENNA MARIE",
"middle_name": "DARNELL",
"name_prefix": "Ms.",
"credential": "HIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-20",
"last_updated": "2020-08-27",
"certification_date": "2020-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MT",
"license": "HAD387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kalispell, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.