Kelly May Johnson, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1210725 Issued in TX

Practice address

3800 Steve Smith Way
Cross Roads, TX 76227-3668

Phone

(940) 365-3030

NPI assigned

May 4, 2023

Last updated

Oct 13, 2025By the provider in NPPES

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 CO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kelly.johnson.1@8042.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• OB-GYN Affiliates

  • Obstetrics & Gynecology Physician
  • Littleton, CO
  • NPI 1134185721
  Medicare reassignment NPD
• Cross Roads Womens Health P.a.

  • Obstetrics & Gynecology Physician
  • Crossroads, TX
  • NPI 1831409598
  NPD (past)
• Texas Health Care, P.L.L.C.

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1821026352
  NPD (past)

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1336838424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 FORT PARKER WAY",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750717176",
            "telephone_number": "720-351-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 STEVE SMITH WAY",
            "city": "CROSS ROADS",
            "state": "TX",
            "postal_code": "762273668",
            "telephone_number": "940-365-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KELLY",
        "middle_name": "MAY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-04",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1210725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Edward Hebda, O.D
• Daniel Raymond Heidrich, CSFA
• Homeline Inc (Life Care Delivered)
• Honey Dental PLLC (Kissable Dental)
• Casey Jamison, WHNP-BC, FNP-C
• Zulmericce Johnson, FNP
• Shanyce Janae Kane
• Sarah Kent, MD
• Nabeela Khan
• Umar Latif, MD

• Nurse Practitioner in Crossroads, TX
• Providers in Crossroads, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.