Kathryn Johnson, RN,NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

509229 Issued in CA

Practice address

412 Cedar St
Suite C
Santa Cruz, CA 95060-4369

Phone

(831) 425-3337

Fax

(831) 466-0366

NPI assigned

Mar 22, 2007

Last updated

Feb 10, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328832000000",
    "number": "1811013469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 FAIRVIEW AVE",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950103427",
            "telephone_number": "831-475-3951",
            "fax_number": "831-475-3951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 CEDAR ST",
            "address_2": "SUITE C",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950604369",
            "telephone_number": "831-425-3337",
            "fax_number": "831-466-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KATHRYN",
        "name_prefix": "Ms.",
        "credential": "RN,NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2012-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "509229",
            "primary": true
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "CA",
            "license": "509229",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0050890",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chad Elijah Johnson
• Erin Liana Johnson, PCCI
• Heather Lynn Johnson
• Jane Theresa Johnson
• Jay Austin Johnson, M.D.
• Kimberly Robin Johnson
• Kyle Lund Johnson
• Lindsay Mitchell Johnson, MD
• Mary Alice Johnson
• Meghan R.L Johnson, PT

• Psychiatric/Mental Health Nurse Practitioner in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.