Active NPI
Cathreen Johnson, NP
- Family Nurse Practitioner
- Pasadena, CA
National Provider Identifier
1316102023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9665
- Practice address
- 565 N Daisy Ave
Pasadena, CA 91107-2704 - Phone
- (626) 256-2432
- NPI assigned
- Jul 22, 2008
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9665 | CA | Primary |
Addresses
Primary practice location
565 N Daisy Ave
Pasadena, CA 91107-2704
Mailing address
565 N Daisy Ave
Pasadena, CA 91107-2704
Phone (626) 256-2432
Other practice location 1
920 2nd Ave S
Suite 400
Minneapolis, MN 55402-3318
Phone (612) 225-1512
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9665 | CA | MD | Professional Counselor |
Interoperability endpoints
- cjohnson43498@cityofhope.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1316102023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "565 N DAISY AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911072704",
"telephone_number": "626-256-2432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "565 N DAISY AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911072704",
"telephone_number": "626-256-2432"
}
],
"practiceLocations": [
{
"address_1": "920 2nd Ave S",
"address_2": "Suite 400",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554023318",
"country_code": "US",
"telephone_number": "612-225-1512",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "CATHREEN",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-22",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "9665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.