Melissa Johnson, CNM

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

785789 Issued in TX

Practice address

401 E 6TH St
Odessa, TX 79761-4516

Phone

(432) 582-2280

Fax

(432) 331-9981

NPI assigned

Jan 14, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524182400000",
    "number": "1992127674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E 6TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614516",
            "telephone_number": "432-582-2280",
            "fax_number": "432-331-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E 6TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614516",
            "telephone_number": "432-582-2280",
            "fax_number": "432-331-9981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 W Illinois Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "TX",
            "postal_code": "797016339",
            "country_code": "US",
            "telephone_number": "432-699-2370 x266",
            "fax_number": "432-697-3524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MELISSA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-14",
        "last_updated": "2018-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "AP125094",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "TX",
            "license": "785789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnson Anesthesia Associates PA
• Alysia Johnson, NNP
• Annsleigh M Johnson
• Billy Johnson, LPC
• Donna Marie Johnson, RNC, FNP-C
• Shelbi Johnson
• Kenneth Mark Jolley, PTA
• Amy M Jones
• Biosha Branshaye Jones, MD
• Dixie Lynn Jones, LPC

• Obstetrics & Gynecology Nurse Practitioner in Odessa, TX
• Providers in Odessa, TX by specialty
• Obstetrics & Gynecology Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; 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.