Active NPI
Kathryn R Adams, CPNP
- School Nurse Practitioner
- Saint Paul, MN
National Provider Identifier
1972668846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Nurse Practitioner
- License
- 3151
- Practice address
- 360 Colborne St
Saint Paul, MN 55102-3228 - Phone
- (651) 767-8189
- NPI assigned
- Dec 22, 2006
- Last updated
- Apr 15, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | R130820-6 | MN | |
| School Nurse Practitioner | 363LS0200X | 3151 | MN | Primary |
Addresses
Primary practice location
360 Colborne St
Saint Paul, MN 55102-3228
Mailing address
360 Colborne St
Saint Paul, MN 55102-3228
Phone (651) 767-8189
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1030454 | Other | PREFERREDONE | |
| 203A6JO | Other | BLUE CROSS BLUE SHIELD | |
| 106602100 | Medicaid | MN | |
| 0439647 | Medicaid | MT | |
| 171945 | Other | UCARE | |
| HP34896 | Other | HEALTHPARTNERS | |
| 0585398 | Medicaid | IA | |
| 12-01624 | Other | MEDICA - CHOICE | |
| 43953500 | Medicaid | WI |
Other names 1
- Kathryn R Johnson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R130820-6 | MN | MD | Pediatric Nurse Practitioner |
| 3151 | MN | MD | School Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776211200000",
"number": "1972668846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 COLBORNE ST",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551023228",
"telephone_number": "651-767-8189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 COLBORNE ST",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551023228",
"telephone_number": "651-767-8189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "KATHRYN",
"middle_name": "R",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-22",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MN",
"license": "R130820-6",
"primary": false
},
{
"code": "363LS0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, School",
"state": "MN",
"license": "3151",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERREDONE",
"identifier": "1030454",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "203A6JO",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "106602100",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0439647",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "171945",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP34896",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0585398",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA - CHOICE",
"identifier": "12-01624",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43953500",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHRYN",
"last_name": "JOHNSON",
"middle_name": "R",
"credential": "CPNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.