MEDICARE: MARIA CHRISTINA JOHNSON CNM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	176B00000X	Midwife	0024186566	VA
2	367A00000X	Advanced Practice Midwife	0024186566	VA
3	367A00000X	Advanced Practice Midwife	R132976	MD

General Provider Information

NPI Number	:	1134223217
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA CHRISTINA JOHNSON CNM

Provider Business Mailing Address
First Line	:	213 S JEFFERSON ST STE 1006
Second Line	:
City	:	ROANOKE
State	:	VA
Zip	:	24011-1713
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	102 HIGHLAND AVE SE STE 301
Second Line	:
City	:	ROANOKE
State	:	VA
Zip	:	24013-2253
Country	:	US
Telephone Number	:	540-985-9715
Fax Number	:	540-985-8487

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/11/2006
Last Update Date	:	03/12/2026

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