Kerry A Johnson, CNP-FNP-DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2764 Issued in MN

Practice address

14000 Nicollet Ave Ste 100
Burnsville, MN 55337-5793

Phone

(952) 428-0200

NPI assigned

May 16, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

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

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.

• St. Francis Regional Medical Center

  dba St. Francis Urgent Care - Southbridge

  • Urgent Care Clinic/Center
  • Shakopee, MN
  • NPI 1447605514
  Medicare reassignment NPD
• St Francis Regional Medical Center

  dba St Francis Professional Fees

  • Low-Risk Neonatal Registered Nurse
  • Shakopee, MN
  • NPI 1316101900
  NPD

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518739200000",
    "number": "1477504058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071321",
            "telephone_number": "612-262-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14000 NICOLLET AVE STE 100",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553375793",
            "telephone_number": "952-428-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2004 Randolph Ave",
            "address_2": "Whitby Hall #431",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551051750",
            "country_code": "US",
            "telephone_number": "651-690-6714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KERRY",
        "middle_name": "A",
        "credential": "CNP-FNP-DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2018-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "2764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111925000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonah Johnson
• Jordon Johnson
• Kaci Christianson Johnson
• Kate Johnson
• Katharine Elizabeth Johnson
• Kinzey Johnson
• Kristine L Johnson, OD
• Kyle R Johnson
• Leah Caroline Johnson
• Louise Tomah Johnson

• Family Nurse Practitioner in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; 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.