Active NPI
Katherine Rose Johansen, PA-C
- Physician Assistant
- McLean, VA
National Provider Identifier
1457895823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110005664
- 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, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251013000708 | DC | Order and Referring Only - Physician Assistant | 3678850989 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10009 | CA | MD | Occupational Therapist |
| 0110005664 | VA | MD | Physician Assistant |
Interoperability endpoints
- 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
- Hongguan Jiao
- Alejandro Jose Jimenez, MD
- Tina Aram Jin, M.D.
- Kim Jiramongkolchai, MD
- Salima Jiwa, LCSW
- John a. Schehl, DDS, PC (Dental Care of Alexandria & Mclean)
- John D. Payne, M.D. LTD.
- John Joseph Gualtieri, PH.D., P.C.
- Johns Hopkins Community Physicians (JHCP - 6849 Old Dominion Dr Ste 300 - Provider Type: 20-Physician)
- Johns Hopkins University (JHU - 6849 Old Dominion Drive - Physician)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.