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

Katherine Rose Johansen, PA-C

Individual provider Physician Assistant · NPI 1457895823

Katherine Rose Johansen, PA-C is a Physician Assistant in Mc Lean, Virginia. Works from 3 locations. Licensed in District of Columbia and Virginia.

Licensed in
DC, VA
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1775 Tysons Blvd Ste 300
Mc Lean, VA 22102-4285
Phone: (888) 663-6331
Fax: (415) 252-7176
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 — (804) 501-8222
  • 3370 Pump Rd, Richmond, VA 23233-1130 — (804) 360-8061

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110005664 (VA)
Physician Assistant Taxonomy 363A00000X · Licence PA200002312 (DC)

Record details

NPI number1457895823
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 5, 2016
Last updated in NPPESSeptember 29, 2025
Certification dateSeptember 29, 2025

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