Individual provider Active NPI

Katherine Anne Williams Johnson, FNP

  • Family Nurse Practitioner
  • Desoto, TX
National Provider Identifier
1699220707
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP131223 Issued in TX
Practice address
947 Scotland Dr Ste 107
Desoto, TX 75115-2095
Phone
(469) 257-3500
NPI assigned
Aug 18, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP131223 TX Primary

Addresses

Primary practice location

947 Scotland Dr Ste 107
Desoto, TX 75115-2095

Mailing address

3751 Main St Ste 600
The Colony, TX 75056-4138
Phone (469) 257-3500

Other names 1

  • Katherine Anne Williams Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20161212001689 TX Practitioner - Nurse Practitioner 6608156591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12530 Lebanon Rd
Suite 202
Frisco, TX 75035-8256

12530 Lebanon Rd
Suite 202
Frisco, TX 75035-9473
Phone (469) 656-4602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP131223TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Family Medical PLLC Family CurrentSince Oct 3, 2016 Accepting new patients
Katherine Johnson Wellness PLLC Family CurrentSince Feb 23, 2025 Accepting new patients

Locations

9300 John Hickman Pkwy
Ste 102
Frisco, TX 75035
Phone (469) 656-4602

12530 Lebanon Rd
Ste 202
Frisco, TX 75035
Phone (469) 656-4602

3751 Main St
Ste 600
The Colony, TX 75056
Phone (209) 418-7126

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1699220707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3751 MAIN ST STE 600",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750564138",
            "telephone_number": "469-257-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 SCOTLAND DR STE 107",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152095",
            "telephone_number": "469-257-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KATHERINE",
        "middle_name": "ANNE WILLIAMS",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-18",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "WILLIAMS",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Desoto, TX

Sources for this page

Verify at the official NPI Registry.