Active NPI
Kathryn Quinn Johnson, D.O.
- Psychiatry Physician
- Roanoke, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0102204723
- Practice address
- 1906 Belleview Ave SE
Roanoke, VA 24014-1838 - Phone
- (540) 981-7000
- NPI assigned
- May 13, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 1533-320 | WI | |
| Psychiatry Physician | 2084P0800X | 0102204723 | VA | Primary |
| Psychiatry Physician | 2084P0800X | 036161995 | IL |
Addresses
Primary practice location
1906 Belleview Ave SE
Roanoke, VA 24014-1838
Mailing address
5217 Hawkbill Cir
Roanoke, VA 24018-8626
Phone (269) 352-2406
Other practice location 1
1204 N Mound St
Nacogdoches, TX 75961-4027
Phone (936) 564-4611
Other practice location 2
11708 Nickelsville Hwy Ste 200
Nickelsville, VA 24271-2872
Phone (276) 248-1880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, IA, WI, WV, DC, AR, PA, OK, OH, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 10
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- West Virginia School of Osteopathic Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
123 Hospital Dr
Suite 110
Watertown, WI 53098-3320
Phone (920) 262-4800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036161995 | IL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wisconsin Lutheran Child and Family Service Inc | Current | Accepting new patients | |
| Team Mentation PLLC | Current | Accepting new patients | |
| Northeast Iowa Mental Health Center | Current | Accepting new patients | |
| Evizzit of Iowa Psychiatry PC | Psychiatry | Current | Accepting new patients |
| Davis Memorial Hospital | Current | Accepting new patients | |
| Watertown Physician Practices LLC | Current | Accepting new patients | |
| Family Insight Inc | Current | Accepting new patients | |
| Watertown Physician Practices LLC | Current | Accepting new patients | |
| Davis Memorial Hospital | Current | Accepting new patients | |
| Suburban Medical Group LLC | Current | Accepting new patients | |
| Evizzit of Iowa Psychiatry PC | Past | Accepting new patients | |
| United Community Services, Inc. | Past | Accepting new patients |
Locations
1 Medical Park Dr
Bryant, AR 72015
Phone (501) 776-6000
770 Tanglefoot Ln
Bettendorf, IA 52722
Phone (563) 241-7443
905 Montgomery St
Decorah, IA 52101
Phone (563) 382-3649
1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200
36 S Frederick Ave
Oelwein, IA 50662
Phone (319) 283-5774
1501 42nd St
Ste 575
West Des Moines, IA 50266
Phone 8552703625171
1501 42nd St
Ste 120
West Des Moines, IA 50266
1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581
207 E F St
Okeene, OK 73763
Phone (580) 822-4321
2701 DeKalb Pike
Fl 2
East Norriton, PA 19401
Phone (610) 275-1028
8 Cadillac Dr
Ste 230
Brentwood, TN 37027
Phone (615) 647-0750
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
10640 Page Ave
Ste 220
Fairfax, VA 22030
Phone (703) 310-7665
11708 Nickelsville Hwy
Ste 200
Nickelsville, VA 24271
Phone (276) 248-1880
6800 Paragon Pl
Ste 200
Richmond, VA 23230
Phone (757) 768-6914
711 W Adams St
Blk River Fls, WI 54615
Phone (715) 284-1302
W175N11120 Stonewood Dr
Germantown, WI 53022
Phone (262) 345-5533
5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089
9555 S Howell Ave
Oak Creek, WI 53154
Phone (262) 345-5560
323 S 18th Ave
Sturgeon Bay, WI 54235
Phone (920) 743-5566
1507 Doctors Ct
Watertown, WI 53094
Phone (920) 261-4111
123 Hospital Dr
Ste 110
Watertown, WI 53098
Phone (920) 261-0672
812 Gorman Ave
Elkins, WV 26241
Phone (304) 636-3300
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FABHDD
- kathryn.johnson@546238333255684.direct.elationemr.com
Organizations & group practices 15
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.
-
- Family Medicine Physician
- Watertown, WI
- NPI 1770964363
-
- Psychiatric/Mental Health Nurse Practitioner
- Nickelsville, VA
- NPI 1942911417
-
dba Davis Medical Center
- General Acute Care Hospital
- Elkins, WV
- NPI 1619964806
-
dba Integrated Telehealth Partners
- Psychiatry Physician
- West Des Moines, IA
- NPI 1740841188
AR, OK, WI
-
dba Northeast Iowa Behavioral Health, Inc.
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Decorah, IA
- NPI 1710933445
-
- Family Medicine Physician
- East Norriton, PA
- NPI 1710355029
-
dba Christian Family Solutions
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Germantown, WI
- NPI 1083786628
-
dba Alexian Brothers Medical Foundation
- Family Medicine Physician
- Elk Grove Village, IL
- NPI 1588775647
-
dba Presence Medical Group
- Multi-Specialty Clinic/Center
- Elk Grove Village, IL
- NPI 1932216819
-
- General Acute Care Hospital
- Coshocton, OH
- NPI 1013468172
-
- Behavior Analyst
- Richmond, VA
- NPI 1194996280
-
dba Health Center Pharmacy
- Community/Retail Pharmacy
- Elkins, WV
- NPI 1700663226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779926400000",
"number": "1356787873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5217 HAWKBILL CIR",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240188626",
"telephone_number": "269-352-2406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1906 BELLEVIEW AVE SE",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240141838",
"telephone_number": "540-981-7000"
}
],
"practiceLocations": [
{
"address_1": "1204 N Mound St",
"address_purpose": "LOCATION",
"city": "Nacogdoches",
"state": "TX",
"postal_code": "759614027",
"country_code": "US",
"telephone_number": "936-564-4611",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11708 Nickelsville Hwy Ste 200",
"address_purpose": "LOCATION",
"city": "Nickelsville",
"state": "VA",
"postal_code": "242712872",
"country_code": "US",
"telephone_number": "276-248-1880",
"fax_number": "276-258-0616",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "KATHRYN",
"middle_name": "QUINN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-13",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WI",
"license": "1533-320",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0102204723",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036161995",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.