Active NPI 1033060462 Individual Practitioner Female Practitioner

Katherine Johnson , CPNP-PC

Nurse Practitioner - Pediatrics • Sandpoint, ID

Professional Overview & Biography Verified Profile Summary

Katherine Johnson, CPNP-PC is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Sandpoint, ID. Practice services are available at 810 SIXTH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

810 Sixth Ave

Sandpoint, ID 838645396

Telephone 2082652242

Associated Practice Facility / Clinic

🏢 Sandpoint Pediatrics Llp Facility NPI 1114954179

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Sandpoint, ID

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 7.7 Yrs

Regional Practice Density

1 Specialists

Practicing in Sandpoint, ID (60 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-08-07

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License ID 8771895

Definition to come...

Registered Nurse - Continuing Education/Staff Development

NUCC Taxonomy Code: 163WC1600X

State License MT NUR-RN-LIC-174252

Definition to come...

Nurse Practitioner - Pediatrics

NUCC Taxonomy Code: 363LP0200X

State License MT NUR-APRN-LIC-2291900

Definition to come...

Secondary Practice Locations

225 Commerce Way

Libby, MT 599233002

Phone: 4062932721

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners

Ann Cox , NP

Nurse Practitioner - Family

NPI 1033270236

Nurse Practitioner

Erin Bass

Nurse Practitioner

NPI 1063872604

Carol Montegary , NP

Nurse Practitioner

NPI 1285661272

Nurse Practitioner

Tracey Koch , FNP

Family Medicine

NPI 1295741239

Family Nurse Practitioner

Dr. Shannon Seckel , DO

Pediatrics

NPI 1316468002

Doctor of Osteopathic Medicine (D.O.)

Dr. Tara Vizcarra , MD

Pediatrics

NPI 1316471717

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

📍

Updated Practice Location August 07, 2026

Registered at 810 SIXTH AVE, SANDPOINT, ID 838645396 (Tel: 2082652242)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2026

Registered Nurse (License #NUR-RN-LIC-174252 in MT)

📍

Updated Business Mailing Address February 13, 2026

Registered at 225 COMMERCE WAY, LIBBY, MT 599233002

👤

Provider Name / Credentials Updated February 13, 2026

Recorded as KATHERINE JOHNSON, CPNP-PC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2026

Nurse Practitioner (License #8771895 in ID)

✅

NPI Profile Active February 03, 2026

NPI status registered as active in NPPES database

📍

Updated Practice Location February 03, 2026

Registered at 225 COMMERCE WAY, LIBBY, MT 599233002 (Tel: 4062932721)

📍

Updated Business Mailing Address February 03, 2026

Registered at 295 RESERVE RD, LIBBY, MT 599238922

👤

Provider Name / Credentials Updated February 03, 2026

Recorded as KATIE JOHNSON, CPNP-PC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2026

Registered Nurse (License #NUR-RN-LIC-174252 in MT)

🟢

Initial NPI Registration & Enumeration February 03, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1033060462

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 03, 2026

Last Update: August 07, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

225 Commerce Way

Libby, MT 599233002

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.