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

Kathleen R Johnson, NP-C

Individual provider Gerontology Nurse Practitioner · NPI 1700214392

Kathleen R Johnson, NP-C is a Nurse Practitioner in Overland Park, Kansas. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2013, 13 years ago. Practices with Shawnee Mission Medical Center Inc, a 277-clinician group and accepts Medicare assignment. Licensed in Kansas and Missouri.

Years since qualifying
13
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
KS, MO
In the registry since
2013
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

10116 W 105th St
Overland Park, KS 66212-5746
Phone: (913) 541-0510
Fax: (913) 541-1852
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 53-76727-091 (KS)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 2023043769 (MO)

Record details

NPI number1700214392
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedOctober 17, 2013
Last updated in NPPESAugust 5, 2024
Certification dateAugust 5, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 2013 (13 years in practice)
Group practice Shawnee Mission Medical Center Inc — 277 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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