Katrina A Johnson, PA
Katrina A Johnson, PA is a Physician Assistant in Boise, Idaho. Qualified in 2009, 17 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group and accepts Medicare assignment.
- Years since qualifying
- 17
- In the registry since
- 2009
- Specialties on file
- 2
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
600 N Robbins Rd Ste 100Boise, ID 83702-4566
Phone: (208) 383-0201
Fax: (208) 489-4300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X |
|---|---|
| Surgical Physician Assistant | Taxonomy 363AS0400X |
Record details
| NPI number | 1891927513 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | August 13, 2009 |
| Last updated in NPPES | April 5, 2011 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2009 (17 years in practice) |
| Group practice | St Lukes Clinic-Treasure Valley Llc — 1150 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 5 on file with Medicare |
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