Individual provider Active NPI

Kathryn Renee Johnson, CRNP

  • Family Nurse Practitioner
  • Huntsville, AL
National Provider Identifier
1871015479
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-133781 Issued in AL
Practice address
910 Adams St SE Ste 100
Huntsville, AL 35801-3751
Phone
(256) 265-0880
Fax
(256) 265-0885
NPI assigned
Jul 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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 1-133781 AL Primary

Addresses

Primary practice location

910 Adams St SE Ste 100
Huntsville, AL 35801-3751

Mailing address

281 County Road 30
Danville, AL 35619-9698
Phone (256) 714-3397

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20180819000003 AL Practitioner - Nurse Practitioner 5193074524 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-133781ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
HH Physicians Network CurrentSince Jun 1, 2026 Accepting new patients
Hazel Green Chiropractic, Inc. CurrentSince Dec 9, 2017 Accepting new patients

Locations

13971 Highway 231 431 N
Hazel Green, AL 35750
Phone (256) 828-4273

910 Adams St SE
Ste 100
Huntsville, AL 35801
Phone (256) 265-0880

245 Governors Dr SE
Bsmt
Huntsville, AL 35801
Phone (256) 265-7080

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": "1499990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1871015479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 COUNTY ROAD 30",
            "city": "DANVILLE",
            "state": "AL",
            "postal_code": "356199698",
            "telephone_number": "256-714-3397",
            "fax_number": "256-265-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 ADAMS ST SE STE 100",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013751",
            "telephone_number": "256-265-0880",
            "fax_number": "256-265-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KATHRYN",
        "middle_name": "RENEE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-14",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-133781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.