Organization Active NPI

Johnson Family Medical PLLC

  • Family Nurse Practitioner
  • Frisco, TX
National Provider Identifier
1861947608
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
Legal business name
JOHNSON FAMILY MEDICAL PLLC
Practice address
12530 Lebanon Rd Ste 202
Frisco, TX 75035-9473
Phone
(469) 257-3500
Fax
(469) 252-7276
NPI assigned
Aug 22, 2016
Last updated
Nov 7, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
JOHNSON FAMILY MEDICALAs reported in NPPES

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

Authorized official

Name
Katherine JohnsonNPI 1699220707
Title
Owner
Phone
(469) 257-3500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

12530 Lebanon Rd Ste 202
Frisco, TX 75035-9473

Mailing address

12530 Lebanon Rd Ste 202
Frisco, TX 75035-9473
Phone (469) 257-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161212001382 TX Part B Supplier - Clinic/Group Practice 5799065686 Receives reassigned benefits from 3 practitioners
Practice locations: Frisco, TX

National Provider Directory

National Provider Directory
Part of
Johnson Family Medical PLLC

Locations

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

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1861947608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12530 LEBANON RD STE 202",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750359473",
            "telephone_number": "469-257-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12530 LEBANON RD STE 202",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750359473",
            "telephone_number": "469-257-3500",
            "fax_number": "469-252-7276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON FAMILY MEDICAL PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOHNSON FAMILY MEDICAL",
        "enumeration_date": "2016-08-22",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-257-3500"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.