IndividualActive
Kathleen Johnson, R.N., P.H.N., M.S.N.
NPI 1104139211 · Registered Nurse · San Diego, CA
Provider details
- NPI number
- 1104139211
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- R.N., P.H.N., M.S.N.
- Sex
- Female
- Sole proprietor
- No
- License
- 76691 (CA)
Specialties & taxonomies
Nursing Service Providers
Nursing Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5202 University Ave
San Diego, CA 92105-2268
Phone: (619) 285-5585
Street-level locationGet directions
Mailing address
5202 University Ave
San Diego, CA 92105-2268
Registry dates
- Enumerated
- 2010-07-17
- Last updated
- 2010-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.