Katherine Roberta Johnson, MSN, RN, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

178967 Issued in CO

Practice address

2001 South Shields
Building G
Fort Collins, CO 80526

Phone

(970) 484-4871

Fax

(970) 482-4927

NPI assigned

Jul 21, 2010

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

Other names 1

• Katherine Roberta Metz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

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.

• Pediatric Associates of Northern Colorado

  • Pediatrics Physician
  • Fort Collins, CO
  • NPI 1336419530
  NPD (past)

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279670400000",
    "number": "1306159256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 LIVE OAK CT",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255569",
            "telephone_number": "970-232-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SOUTH SHIELDS",
            "address_2": "BUILDING G",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80526",
            "telephone_number": "970-484-4871",
            "fax_number": "970-482-4927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KATHERINE",
        "middle_name": "ROBERTA",
        "credential": "MSN, RN, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-21",
        "last_updated": "2010-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CO",
            "license": "178967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "METZ",
            "middle_name": "ROBERTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jacqueline M Johnson, LPC
• Jane Louise Johnson, LCSW
• Jolly Samuel Johnson, DDS
• Justin Alan Johnson
• Katelyn Ruth Johnson
• Laurie Johnson, P.T.
• Leslie G. Johnson, DDS
• Lisa Ashely Johnson, MSSW
• Madison Johnson
• Margaret Mae Johnson, MA, LPC

• All providers in Fort Collins, CO
• Pediatric Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.