DR. KIM M JOHNSTON (NPI# 1083719454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083719454 |
| Entity Type | Individual |
| Full Name | DR. KIM M JOHNSTON |
| Credential | DC |
| Practice Address |
710 3rd St. North Jacksonville Beach FL 32250 |
| Practice Telephone | 9042491551 |
| Practice Fax Number | 9042491530 |
| Mailing Telephone | 9042491551 |
| Mailing Fax Number | 9042491530 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2014-05-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH8655 | FL | Chiropractic Providers |
| N | 171100000X | Acupuncturist | CH8655 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE PTAN | AN996 | 01 |
| FL | BLUE CROSS BLUE SHEILD # | 89041 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285774968 | Kim A. Johnston | Chiropractor | 34 Burton St Sw, Grand Rapids, MI 49507-2917 | 2007-02-08 |
| 1821153040 | Kim Ann Johnston | Chiropractor | 314 Nahatan St, Norwood, MA 02062-2712 | 2006-12-27 |
| 1982971636 | Kim Johnston | Pharmacist | 142 Saint James Ave, Goose Creek, SC 29445-2973 | 2011-11-23 |
| 1417994096 | Kim Walden Johnston | Specialist | 840 Pine St, Suite 880, Macon, GA 31201-2100 | 2006-06-01 |
| Street Address |
710 3RD ST. NORTH |
| City | JACKSONVILLE BEACH |
| State | FL |
| Zip Code | 32250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922243765 | Marcus A Kampfe | Chiropractor | 710 3rd St. North, Jacksonville Beach, FL 32250 | 2008-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386129591 | Kelsey Ilene Keimig | Audiologist | 3200 S 3rd Street, Ste 101, Jacksonville, FL 32250 | 2018-10-03 |
| 1225529696 | Turning Tides Eating Disorder Treatment Center, LLC. | Clinic/Center | 4300 Marsh Landings Blvd. #101, Jacksonville Beach, FL 32250 | 2018-05-22 |
| 1528578820 | Dianne Frances Gay | Dental Hygienist | 1144 14th Street North, Jacksonville Beach, FL 32250 | 2017-10-02 |
| 1801324280 | Kailo Nutrition | Dietitian, Registered | 353 B 6th Street South, Jacksonville, FL 32250 | 2017-05-30 |
| 1275985368 | Shankeertha Sundaralingam | Dentist | 3316 3rd St S Ste 101, Jacksonville Beach, FL 32250 | 2016-07-13 |
| 1851777494 | Brooke Worthington Davidson | Audiologist | 1370 13th Ave S Ste 115, Jacksonville Beach, FL 32250 | 2015-08-05 |
| 1689059115 | Jenna Levine | Speech-Language Pathologist | 779 10th Avenue South, Jacksonville Beach, FL 32250 | 2015-07-27 |
| 1790176824 | Olivia Ingram Caswell | Acupuncturist | 2902 Isabella Boulevard, Suite 50, Jacksonville Beach, FL 32250 | 2015-02-11 |
| 1467859033 | Colleen Freeman | Physical Therapist | 1537 Penman Rd, Jacksonville, FL 32250 | 2014-11-26 |
| 1356750012 | Madelyn Jones | Physical Therapist | 1320 Roberts Drive, Jacksonville Beach, FL 32250 | 2014-08-07 |
| Find all providers in zip 32250 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245585645 | Austin Glennon | Chiropractor | 730 Beach Blvd, Ste 101, Jacksonville Beach, FL 32250-5352 | 2012-07-21 |
| 1679866693 | Suzanne Mcguffin Smith | Chiropractor | 1123 3rd St N, Jacksonville Beach, FL 32250 | 2011-05-24 |
| 1992006704 | Infinity Health Systems Inc | Chiropractor | 831 3rd St N Ste A, Jacksonville Beach, FL 32250-7172 | 2010-11-10 |
| 1750521340 | Prokosch Chiropractic Inc | Chiropractor | 1300 Marsh Landing Pkwy Ste 107, Jacksonville Beach, FL 32250-2407 | 2009-02-23 |
| 1114176542 | Infinity Health Systems Inc | Chiropractor | 1361 13th Ave S Ste 160, Jacksonville Beach, FL 32250-3235 | 2008-09-10 |
| 1922263052 | Davenport Chiropractic, P.a. | Chiropractor | 2710 3rd St S, Jacksonville Beach, FL 32250-6028 | 2008-07-29 |
| 1285817320 | John G. Tender | Chiropractor | 219 11th Avenue N, Jacksonville Beach, FL 32250 | 2007-12-12 |
| 1760665087 | Cullum Chiropractic Centers Inc | Chiropractor | 1427 3rd St S, Jacksonville Beach, FL 32250-6309 | 2007-12-10 |
| 1083830806 | Ocean View Health Inc | Chiropractor | 320 1st St N Ste 709, Jacksonville Beach, FL 32250-6947 | 2007-04-18 |
| 1174642151 | Kenneth Arthur Piering | Chiropractor | 640 3rd St N Ste 2, Jacksonville Beach, FL 32250-7147 | 2007-03-28 |
| Find all providers in JACKSONVILLE BEACH | ||||
| City | JACKSONVILLE BEACH |
| Zip Code | 32250 |
Please comment or provide details below to improve the information on DR. KIM M JOHNSTON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.