Individual provider Active NPI

Karen A Johnson, APN

  • Primary Care Nurse Practitioner
  • Schertz, TX
National Provider Identifier
1063703510
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP119719 Issued in TX
Practice address
3746 Schertz Pkwy Ste 100
Schertz, TX 78154-2929
Phone
(210) 380-1706
NPI assigned
May 2, 2011
Last updated
Jan 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 639757 TX
Primary Care Nurse Practitioner 363LP2300X AP119719 TX Primary

Addresses

Primary practice location

3746 Schertz Pkwy Ste 100
Schertz, TX 78154-2929

Mailing address

3746 Schertz Pkwy Ste 100
Schertz, TX 78154-2929
Phone (210) 380-1706

Other practice location 1

3326 E Southcross Blvd
San Antonio, TX 78223-1922
Phone (210) 532-4555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20190328001294 TX Practitioner - Nurse Practitioner 6103166103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hillside Primary Care PLLCGroup PAC ID 0648530386, 49 clinicians

Practice addresses (Care Compare)

12410 Toepperwein Rd
Toepperwein Live Oak
Live Oak, TX 78233-3230
Phone (210) 742-6555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
639757TXMDPrimary Care Nurse Practitioner
AP119719TXMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heal Well Primary Care PC CurrentSince Mar 26, 2023 Accepting new patients
Hillside Primary Care PLLC CurrentSince Jan 1, 2022 Accepting new patients
N H Shannon MD PA Past Accepting new patients

Locations

12410 Toepperwein Rd
Live Oak, TX 78233
Phone (210) 659-4425

12410 Toepperwein Rd
#O
Live Oak, TX 78233
Phone (210) 659-4425

12881 Toepperwein Rd
#I35
Live Oak, TX 78233

790 Generations Dr
Ste 405
New Braunfels, TX 78130
Phone (210) 767-2549

2339 E Evans Rd
Ste 112
San Antonio, TX 78259

3710 Roosevelt Ave
San Antonio, TX 78214

5525 Blanco Rd
Ste 102
San Antonio, TX 78216
Phone (210) 464-6020

5000 Baptist Health Dr
Ste 117
Schertz, TX 78154
Phone (210) 626-8201

Interoperability endpoints

  • Direct secure messaging: karenjohnsonfnp@tjfamilyclinic.kareodirect.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1063703510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3746 SCHERTZ PKWY STE 100",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781542929",
            "telephone_number": "210-380-1706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3746 SCHERTZ PKWY STE 100",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781542929",
            "telephone_number": "210-380-1706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3326 E Southcross Blvd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782231922",
            "country_code": "US",
            "telephone_number": "210-532-4555",
            "fax_number": "210-532-6055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KAREN",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-02",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "639757",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP119719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schertz, TX

Sources for this page

Verify at the official NPI Registry.