Individual Healthcare Provider
Kathleen Marie Johnson, AGACNP-BC
Provider's NPPES record last updated: January 30, 2023
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1245946680
- Primary Specialty
- Nurse Practitioner — Adult Health
- Practice Location
- Victoria, Texas
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 10:20 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Adult Health
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LA2200X Nurse Practitioner
Acute Care
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LA2100XNurse Practitioner
Gerontology
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LG0600X
Provider-Reported License Information
- Nurse Practitioner (Texas)
- 1109163
- Nurse Practitioner (Texas)
- 1109163
- Nurse Practitioner (Texas)
- 1109163
Practice Locations
Practice Location
605 E Locust Ave
Victoria, Texas 77901-3933
Phone: (361) 572-4300
Additional Practice Location
506 E San Antonio St
Victoria, Texas 77901-6060
Phone: (361) 575-7441
Additional Practice Location
2701 Hospital Dr
Victoria, Texas 77901-5749
Phone: (361) 573-9181
Record Information
- Enumeration Date
- January 30, 2023
- Provider's NPPES Record Last Updated
- January 30, 2023
- Certification Date
- January 29, 2023
- NPISignal NPPES Dataset
- August 2026
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