Vanessa N. Johnson, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2009003502 Issued in MO

Practice address

1004 Carondelet Dr
Suite 330
Kansas City, MO 64114-4801

Phone

(816) 914-6400

Fax

(816) 941-6404

NPI assigned

Apr 20, 2009

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 KS

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

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blue Valley Dermatology LLCGroup PAC ID 9133499973, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5617/brand/1/csg/1/fhir/r4

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.

• Blue Valley Dermatology LLC

  • Dermatology Physician
  • Overland Park, KS
  • NPI 1104354794
  Medicare reassignment Care Compare group
• Kansas City Pediatrics, LLC

  • Pediatric Adolescent Medicine Physician
  • Kansas City, MO
  • NPI 1619078912
  NPD (past)
• College Park Family Care Center PA

  • Family Medicine Physician
  • Overland Park, KS
  • NPI 1740248772
  NPD (past)

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305590400000",
    "number": "1245474386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 CARONDELET DR",
            "address_2": "SUITE 330",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144801",
            "telephone_number": "816-914-6400",
            "fax_number": "816-941-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 CARONDELET DR",
            "address_2": "SUITE 330",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144801",
            "telephone_number": "816-914-6400",
            "fax_number": "816-941-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "VANESSA",
        "middle_name": "N.",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-20",
        "last_updated": "2011-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MO",
            "license": "2009003502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy D. Johnson, D.O.
• Todd Anthony Johnson, PT
• Tressa Johnson
• Twyla Arielle Johnson, FNP-C
• Tyler Joseph Johnson
• Vernice Lynn Johnson, COSMETOLOGIST
• VI Dinh Johnson
• Viola June Johnson, RN, ARNP
• Yvette Johnson, MADDC LL 13949
• Kristen Johnston-Cook

• Medical Physician Assistant in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Medical Physician Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.