Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Katherine Johnson

Individual provider Physician Assistant · NPI 1639067945

Katherine Johnson is a Physician Assistant in Mandeville, Louisiana. Qualified in 2025, 1 year ago. Practices with Total Recovery Mind and Body PLLC, an 8-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
1
Licensed in
TN
In the registry since
2025

Practice location Address checks out

948 Colewa Ct
Mandeville, LA 70471-1510
Phone: (985) 788-3915
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6593 (TN)

Record details

NPI number1639067945
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 25, 2025
Last updated in NPPESJune 25, 2025
Certification dateJune 25, 2025
Mailing address948 Colewa Ct, Mandeville, LA 70471-1510

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Total Recovery Mind And Body Pllc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mandeville