Active NPI
Zackery Matthew Johnson, PA-C
- Medical Physician Assistant
- Topeka, KS
National Provider Identifier
1255267720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 6908 SW 17TH St
Topeka, KS 66615-1136 - Phone
- (316) 213-3660
- NPI assigned
- Jun 22, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | KS | Primary | |
| Physician Assistant | 363A00000X | KS |
Addresses
Primary practice location
6908 SW 17TH St
Topeka, KS 66615-1136
Mailing address
6908 SW 17TH St
Topeka, KS 66615-1136
Phone (316) 213-3660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782086400000",
"number": "1255267720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6908 SW 17TH ST",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666151136",
"telephone_number": "316-213-3660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6908 SW 17TH ST",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666151136",
"telephone_number": "316-213-3660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "ZACKERY",
"middle_name": "MATTHEW",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-06-22",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "KS",
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KS",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Topeka, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.