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

Kathleen Johnson

Individual provider Nurse Practitioner · NPI 1588257299

Kathleen Johnson is a Nurse Practitioner in Bridgeport, Connecticut. Qualified in 2020, 6 years ago. Practices with Tptc-Nh LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
6
Licensed in
CT
In the registry since
2021
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Practice location Address checks out

2800 Main St
Bridgeport, CT 06606-4201
Phone: (203) 576-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 9409 (CT)

Record details

NPI number1588257299
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 12, 2021
Last updated in NPPESFebruary 12, 2021
Certification dateFebruary 12, 2021
Mailing address2800 Main St, Bridgeport, CT 06606-4201

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Tptc-Nh Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bridgeport