Individual provider Active NPI

Catherine Johnson

  • Physician Assistant
  • Kyle, TX
National Provider Identifier
1912784059
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1180 Seton Pkwy Ste 220
Kyle, TX 78640-6179
Phone
(512) 504-5000
NPI assigned
Sep 12, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1180 Seton Pkwy Ste 220
Kyle, TX 78640-6179

Mailing address

1180 Seton Pkwy Ste 220
Kyle, TX 78640-6179

Other practice location 1

1850 Town Center Pkwy
Reston, VA 20190-3204
Phone (703) 689-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, TX, CO3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240325000871 DC Practitioner - Physician Assistant 0941647176 Reassigns benefits to 1 organization
I20250415003421 TX Practitioner - Physician Assistant 0941647176 Reassigns benefits to 1 organization
I20260219004783 CO Practitioner - Physician Assistant 0941647176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

Practice addresses (Care Compare)

6001 Kyle Pkwy
Kyle, TX 78640-6112
Phone (512) 504-5000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors CurrentSince Feb 14, 2025 Accepting new patients
Acute Care Surgery Medical Group, Inc. CurrentSince Feb 1, 2026 Accepting new patients
Seton Family of Doctors CurrentSince Feb 14, 2025 Accepting new patients
Seton Family of Doctors Past Accepting new patients

Locations

11750 W 2nd Pl
Ste 360
Lakewood, CO 80228
Phone (720) 321-8470

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

1180 Seton Pkwy
Ste 220
Kyle, TX 78640
Phone (512) 504-0076

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

Interoperability endpoints

  • Direct secure messaging: catherine.johnson.1@8363.direct.athenahealth.com

Organizations & group practices 5

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": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1912784059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 SETON PKWY STE 220",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786406179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 SETON PKWY STE 220",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786406179",
            "telephone_number": "512-504-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1850 Town Center Pkwy",
            "address_purpose": "LOCATION",
            "city": "Reston",
            "state": "VA",
            "postal_code": "201903204",
            "country_code": "US",
            "telephone_number": "703-689-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CATHERINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-12",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kyle, TX

Sources for this page

Verify at the official NPI Registry.