Individual
REBECCA G JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1532 LONE OAK RD STE 245, PADUCAH, KY 42003-7941
(270) 538-5700
(270) 538-5701
Mailing address
1532 LONE OAK RD STE 245, PADUCAH, KY 42003-7941
(270) 538-5700
(270) 538-5701
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
3006383
KY
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
3006383
KY
367A00000X
Advanced Practice Midwife
Primary
3006383
KY
367A00000X
Advanced Practice Midwife
6383M
KY
367A00000X
Advanced Practice Midwife
APN16127
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1525514
—
TN
01
—
3380640
GROUP MEDICAID
TN
01
—
7100203570
KY MEDICAID
KY
01
—
K009831
KY MEDICARE PTAN
KY
Enumeration date
03/03/2010
Last updated
09/28/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us