MATTHEW PHILIP JOHNSTON ARNP NPI 1134482755

NPI Information

NPI: 1134482755
Provider Name: MATTHEW PHILIP JOHNSTON, ARNP
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

PECOS Registration: Yes

Address:
1178 KINOOLE ST
HILO, HI
ZIP 96720
Phone: (083) 338-3600
Get Directions

Matthew Philip Johnston, ARNP is a primary care nurse practitioner in Hilo, HI. Matthew Philip Johnston, ARNP NPI is 1134482755. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1178 KINOOLE ST
HILO, HI
ZIP 96720-206
Phone: (083) 338-3600

The NPI 1134482755 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/19/2012 and was last updated on 7/18/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	3007618	KENTUCKY	No
2	363LP2300X	Nurse Practitioner	Primary Care	3540	HAWAII	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3540	OTHER	HAWAII	APRN LICENSE
2	000000781639	OTHER	KENTUCKY	BCBS WALMART MILLE
3	P01105256	OTHER	KENTUCKY	RR MEDICARE-BAPTIST HEALTH MADISONVILLE INC
4	000000781754	OTHER	KENTUCKY	BCBS TROVER
5	7100215240	MEDICAID	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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