Individual provider Active NPI

Xaviery S Johnson, APRN, FNP-BC

  • Nurse Practitioner
  • Katy, TX
National Provider Identifier
1093686016
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1097116 Issued in TX
Practice address
4007 Prairie Landing LN
Katy, TX 77494-1627
Phone
(346) 257-5103
NPI assigned
Sep 15, 2025
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4007 Prairie Landing LN
Katy, TX 77494-1627

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
I20260515000154 TX Practitioner - Nurse Practitioner 1658840087 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1097116TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
10X Fitness Motivation and Transformation LLC CurrentSince Sep 21, 2025 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADJAED/Endpoint/ADJAED

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1097116 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

4007 Prairie Landing LN
Katy, TX 77494-1627

Mailing address

4007 Prairie Landing LN
Katy, TX 77494-1627
Phone (346) 257-5103

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 2, 2026.

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1093686016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 PRAIRIE LANDING LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774941627",
            "telephone_number": "346-257-5103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4007 PRAIRIE LANDING LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774941627",
            "telephone_number": "346-257-5103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "XAVIERY",
        "middle_name": "S",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-15",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1097116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.