Holly J Johnson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

15-01805 Issued in KS

Practice address

3711A SW Wanamaker Rd
Topeka, KS 66610-1368

Phone

(785) 380-3310

Fax

(785) 380-8012

NPI assigned

Jun 26, 2014

Last updated

Dec 30, 2024By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hsavenko42375@stormontvaildirect.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Complexcare Medical Group Kansas M LLC

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1538042338

  KS

  Medicare reassignment NPD
• Theoria Medical

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1609362375

  KS, Physician Assistant

  Medicare reassignment NPD
• Collabcare Solutions

  dba wellness DRIVEN

  • Health Service Clinic/Center
  • Topeka, KS
  • NPI 1124881214
  NPD Authorized official
• Cotton-O'Neil Clinic Revocable Trust

  dba Cotton O'Neil

  • Internal Medicine Physician
  • Topeka, KS
  • NPI 1811944457
  Medicare reassignment
• Sent, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Topeka, KS
  • NPI 1386251429
  Medicare reassignment
• Cotton-O'Neil Clinic Revocable Trust

  dba Stormont Vail Health DME

  • Durable Medical Equipment & Medical Supplies
  • Topeka, KS
  • NPI 1700076015
  NPD
• Sent, Inc.

  • Substance Abuse Rehabilitation Facility
  • Topeka, KS
  • NPI 1639941784
  NPD

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1891100053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711A SW WANAMAKER RD",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666101368",
            "telephone_number": "785-380-3310",
            "fax_number": "785-380-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711A SW WANAMAKER RD",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666101368",
            "telephone_number": "785-380-3310",
            "fax_number": "785-380-8012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1516 SW 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666061696",
            "country_code": "US",
            "telephone_number": "785-270-8605",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4505 NW Fielding Rd",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666182651",
            "country_code": "US",
            "telephone_number": "785-270-0047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2909 SE Walnut Dr",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666052189",
            "country_code": "US",
            "telephone_number": "785-270-0047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6725 SW 29th St",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666145625",
            "country_code": "US",
            "telephone_number": "785-354-0517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "HOLLY",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-26",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "068002420",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric C Johnson, DDDS
• Frank Neil Johnson, DDS
• Frederick L Johnson, PTA
• Gary E. Johnson, MME, NMT, MT-BC
• Gregory Johnson, DDS
• Howell Donald Johnson, MD
• Jennifer Johnson, SLP
• Jennifer Ann Johnson, LMSW
• Katie Elizabeth Johnson, APRN
• Kellie Renae Johnson, PTA

• Physician Assistant in Topeka, KS
• Providers in Topeka, KS by specialty
• Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.