Doctor profile · Federal record
Dr. Kathryn Johnson, CPNP
Pediatric Nurse Practitioner · Bolivar, MO
- NPI 1003260472
- 10 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1195 N Oakland Ave Ste 2
Bolivar, MO 656138025
(417) 777-2121
Credentials & registration
- NPI registered
- April 2016 — 10 yrs on file
- Profile last updated
- January 28, 2026
- Specialty taxonomy
- 363LP0200X — NUCC code
- State license (1)
- Missouri #2017000765
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1003260472. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$18
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Medtronic, INC. | 1 | $17.92 |
By nature of payment
Frequently asked questions
What is Dr. Kathryn Johnson's medical specialty?
Dr. Kathryn Johnson practices Pediatric Nurse Practitioner in Bolivar, MO.
Where does Dr. Kathryn Johnson practice?
Dr. Kathryn Johnson practices at 1195 N Oakland Ave Ste 2, Bolivar, MO 656138025. Office phone: 4177772121.
What is Dr. Kathryn Johnson's NPI?
Dr. Kathryn Johnson's National Provider Identifier (NPI) is 1003260472, issued by NPPES.