Individual provider Active NPI

Katherine Rose Johansen, PA-C

  • Physician Assistant
  • McLean, VA
National Provider Identifier
1457895823
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110005664 Issued in VA
Practice address
1775 Tysons Blvd Ste 300
MC Lean, VA 22102-4285
Phone
(888) 663-6331
Fax
(415) 252-7176
NPI assigned
Dec 5, 2016
Last updated
Sep 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA200002312 DC
Physician Assistant 363A00000X 0110005664 VA Primary

Addresses

Primary practice location

1775 Tysons Blvd Ste 300
MC Lean, VA 22102-4285

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (415) 658-6791

Other practice location 1

100 Brewster Blvd
Camp Lejeune, NC 28547-2575
Phone (804) 501-8222

Other practice location 2

3370 Pump Rd
Richmond, VA 23233-1130
Phone (804) 360-8061

Other names 1

  • Katherine R McSweeney Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address PFExchange@patientfirstclinics.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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

Enrollment IDStateProvider typePAC IDDetails
I20251013000708 DC Order and Referring Only - Physician Assistant 3678850989

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10009CAMDOccupational Therapist
0110005664VAMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: pfexchange@patientfirstclinics.com

NPI Registry JSON

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

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1457895823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723",
            "telephone_number": "415-658-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 TYSONS BLVD STE 300",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024285",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Brewster Blvd",
            "address_purpose": "LOCATION",
            "city": "Camp Lejeune",
            "state": "NC",
            "postal_code": "285472575",
            "country_code": "US",
            "telephone_number": "804-501-8222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3370 Pump Rd",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232331130",
            "country_code": "US",
            "telephone_number": "804-360-8061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHANSEN",
        "first_name": "KATHERINE",
        "middle_name": "ROSE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-05",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DC",
            "license": "PA200002312",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110005664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PFExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3370 Pump Rd",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232331130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "MCSWEENEY",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in McLean, VA

Sources for this page

Verify at the official NPI Registry.