Individual provider Active NPI

Kristen Johnson

  • Medical Physician Assistant
  • Houston, TX
National Provider Identifier
1861175655
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA18083 Issued in TX
Practice address
952 Echo LN Ste 240
Houston, TX 77024-2837
Phone
(713) 955-9324
NPI assigned
Aug 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA18083 TX Primary

Addresses

Primary practice location

952 Echo LN Ste 240
Houston, TX 77024-2837

Mailing address

952 Echo LN Ste 240
Houston, TX 77024-2837
Phone (713) 955-9324

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
I20240923000345 TX Practitioner - Physician Assistant 7517408230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Univ of Nebraska Medical Center, Col of Dentistry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Houston Gastroenterology PAGroup PAC ID 5294902367, 14 clinicians

Practice addresses (Care Compare)

10425 Huffmeister Rd
Houston, TX 77065-3429

10425 Huffmeister Rd
Suite 280
Houston, TX 77065-3430
Phone (832) 632-4070

22215 Cypresswood Dr
Suite 315
Cypress, TX 77433-9020
Phone (832) 632-4070

23920 Katy Fwy
Suite 560
Katy, TX 77494-0902
Phone (832) 632-4070

Hospital & facility affiliations

  • Memorial Hermann Katy Hospital Hospital, Katy, TX, CCN 450847
  • Memorial Hermann - Texas Medical Center Hospital, Houston, TX, CCN 450068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Living Service, Inc. PastSince Nov 10, 2024 Accepting new patients

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.

Hospital & facility affiliations 3

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": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1861175655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "952 ECHO LN STE 240",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242837",
            "telephone_number": "713-955-9324",
            "fax_number": "713-955-6343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "952 ECHO LN STE 240",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242837",
            "telephone_number": "713-955-9324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KRISTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA18083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.