Katrina Johnson

Primary specialty

ProsthetistTaxonomy code 224P00000X

Practice address

5830 6TH St NE
Fridley, MN 55432-5527

Phone

(952) 917-9444

NPI assigned

Jul 20, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1295460582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5830 6TH ST NE",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554325527",
            "telephone_number": "952-917-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 6TH ST NE",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554325527",
            "telephone_number": "952-917-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KATRINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Johnson
• Donald Edward Johnson, M.D.
• Frederick W Johnson, MD
• Iris E. Johnson, MA, CCC-A
• Judy Joann Johnson, OPTICAN
• Matthew Michael Johnson, DO
• Megan Johnson, MA, LPCC
• Samantha Julianne Johnson, NP
• William S Johnson
• Journeys: a Pathway /to Healing, LLC

• Prosthetist in Fridley, MN
• Providers in Fridley, MN by specialty
• Prosthetist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.