Kaitlin Johnson, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN2290048 Issued in MA

Practice address

344 Great Rd
Acton, MA 01720-4004

Phone

(866) 389-2727

NPI assigned

Apr 9, 2014

Last updated

Feb 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1053730853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 GREAT RD",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017204004",
            "telephone_number": "866-528-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 GREAT RD",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017204004",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KAITLIN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-09",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2290048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agnes Jacob, AGNP
• Thomas Matthew Jacoby, D.M.D.
• John Joseph Jakimczyk, M.D.
• Jenny Citrin DMD PLLC
• Julia Jermyn
• Noelle Johnson, OT
• Alexandra Malloy Jones
• Emily Mildred Jones, RN
• Padma Nanduri Jonnavithula, DMD
• Jose R. Gutierrez MD PC

• Family Nurse Practitioner in Acton, MA
• Providers in Acton, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.