Individual provider Active NPI

Katheryn Johnson, NP-C

  • Family Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1750020178
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2022016438 Issued in MO
Practice address
1950 Diamond Pkwy
Kansas City, MO 64116-4328
Phone
(816) 852-3960
NPI assigned
Jun 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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 2022016438 MO Primary

Addresses

Primary practice location

1950 Diamond Pkwy
Kansas City, MO 64116-4328

Mailing address

21120 W 226TH St
Spring Hill, KS 66083-3144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220817002923 MO Practitioner - Nurse Practitioner 5092198473 Reassigns benefits to 1 organization
I20250612000779 KS Practitioner - Nurse Practitioner 5092198473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Health of Kansas City PCGroup PAC ID 3375508443, 47 clinicians

Practice addresses (Care Compare)

10900 W 86TH St
Lenexa, KS 66214-1634
Phone (816) 561-3003

19550 W 39TH St
Suite 410
Independence, MO 64057-0001
Phone (816) 303-2400

Hospital & facility affiliations

  • NKC Health Hospital, North Kansas City, MO, CCN 260096
  • Hedrick Medical Center Hospital, Chillicothe, MO, CCN 261321
  • Centerpoint Medical Center Hospital, Independence, MO, CCN 260095

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Health of Kansas City P.C. CurrentSince Aug 3, 2022 Accepting new patients

Locations

10900 W 86th St
Lenexa, KS 66214
Phone (816) 561-3003

1950 Diamond Pkwy
Ste 100
North Kansas City, MO 64116
Phone (816) 561-3003

1950 Diamond Pkwy
North Kansas City, MO 64116
Phone (816) 561-3003

Interoperability endpoints

  • Direct secure messaging: orthopedichealthofkansascity.katiejohnson@151220.advancedmd-direct.com

Organizations & group practices 1

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1750020178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21120 W 226TH ST",
            "city": "SPRING HILL",
            "state": "KS",
            "postal_code": "660833144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 DIAMOND PKWY",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641164328",
            "telephone_number": "816-852-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KATHERYN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-02",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2022016438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.