Cathy Jean Johnson, RN, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

761 Issued in AK

Practice address

1867 Airport Way
Suite 215
Fairbanks, AK 99701-4062

Phone

(907) 456-1434

Fax

(907) 456-1481

NPI assigned

Mar 22, 2006

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2016 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: cathy.johnson.1@18773.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 and National Provider Directory roles.

• North Wind Behavioral Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Fairbanks, AK
  • NPI 1376981696
  NPD (past)
• Samaritan Counseling Center

  • Community/Behavioral Health Agency
  • Fairbanks, AK
  • NPI 1487818829
  NPD (past)

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385424000000",
    "number": "1447219076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1867 AIRPORT WAY",
            "address_2": "SUITE 215",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014062",
            "telephone_number": "907-456-1434",
            "fax_number": "907-456-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1867 AIRPORT WAY",
            "address_2": "SUITE 215",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014062",
            "telephone_number": "907-456-1434",
            "fax_number": "907-456-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CATHY",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "RN, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2013-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AK",
            "license": "761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelika Johnson
• Anne Karnik Johnson, R.PH.
• Benjamin Douglas Johnson, PA-C, R.T. (R)
• Bridget Anne Johnson, PA-C
• Carl Eugene Johnson, LPN
• Christine Lynne Johnson, CDC1
• Daniel Johnson
• Daniel R Johnson, D.O.
• Dustin Johnson
• Erica Marie Johnson

• Psychiatric/Mental Health Nurse Practitioner in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Psychiatric/Mental Health Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.