MS. KRISTINE ELIZABETH JOHNSON (NPI# 1083948376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083948376 |
| Entity Type | Individual |
| Full Name | MS. KRISTINE ELIZABETH JOHNSON |
| Credential | ATC |
| Practice Address |
44 Pierrepont Ave Potsdam NY 13676 |
| Mailing Address |
60 Hale Rd Apt 1a Canton NY 13617-3266 |
| Practice Telephone | 3152672074 |
| Mailing Telephone | 5702625173 |
| Enumeration Date | 2009-09-20 |
| Last Update Date | 2019-01-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
001950 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
000710 | IA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
RT004512 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 23 Romoda Dr, Augsbury, Athletic Training Room, Canton, NY 136171423 | 3152295759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376732834 | Kristine Kay Johnson | Chiropractor | 2717 Santa Barbara Blvd Ste 8, Cape Coral, FL 33914-4432 | 2007-10-22 |
| 1407984172 | Kristine Elizabeth Johnson | Occupational Therapist | 5982 Shawcroft Dr, San Jose, CA 95123 | 2007-03-02 |
| 1114093572 | Kristine C Johnson | Physical Therapist | 120 Graham Way Ste 110, Shelburne, VT 05482-7217 | 2006-11-28 |
| 1700826195 | Kristine L Johnson | Psychologist | 1201 Wakarusa Dr, Bldg E, Suite E-2, Lawrence, KS 66049-4722 | 2006-06-07 |
| 1144829805 | Kristine Beth Johnson | Registered Nurse | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2020-10-22 |
| 1164086765 | Kristine Johnson | Counselor | 7010 E Bogard Rd, Wasilla, AK 99654-4711 | 2019-04-29 |
| 1104300391 | Kristine June Johnson | Registered Nurse | 4115 Se Hager Ln, Milwaukie, OR 97267-2925 | 2018-09-24 |
| 1841782596 | Kristine Johnson | Physical Therapist | W129n6889 Northfield Dr, Menomonee Falls, WI 53051-0518 | 2018-05-30 |
| 1356859318 | Kristine H Johnson | Psychologist | 11022 Santa Monica Blvd Ste 250, Los Angeles, CA 90025-7573 | 2018-01-11 |
| 1487177556 | Kristine Marie Johnson | Occupational Therapy Assistant | 100 Silver Bluff Dr, Canton, NC 28716-6350 | 2017-07-20 |
| Street Address |
44 PIERREPONT AVE |
| City | POTSDAM |
| State | NY |
| Zip Code | 13676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770500696 | Heather Anne Pike | Specialist/Technologist | 44 Pierrepont Ave, Potsdam, NY 13676-2200 | 2006-07-16 |
| 1033601976 | Alexandra Berking | Specialist/Technologist | 44 Pierrepont Ave, Potsdam, NY 13676-2200 | 2018-06-06 |
| 1669896171 | Brandi K. Kelley | Social Worker | 44 Pierrepont Ave, Potsdam, NY 13676-2200 | 2014-02-05 |
| 1487706917 | Suny Potsdam | Clinic/Center | 44 Pierrepont Ave, Potsdam, NY 13676-2200 | 2007-01-17 |
| 1952480709 | Tracy Harcourt | Nurse Practitioner | 44 Pierrepont Ave, Potsdam, NY 13676-2200 | 2006-11-03 |
| 1780767129 | Richard W. Williams | Psychologist | 44 Pierrepont Ave, Flagg 153, Potsdam, NY 13676-2200 | 2006-10-21 |
| 1679660336 | Suny Potsdam Student Health Services | Clinic/Center | 44 Pierrepont Ave, Student Health Services, Potsdam, NY 13676-2200 | 2006-10-06 |
| 1588751192 | Mary Elizabeth Rosenfeld | Nurse Practitioner | 44 Pierrepont Ave, Potsdam, NY 13676-2200 | 2006-10-06 |
| 1093726523 | Richard Moose | Emergency Medicine | 44 Pierrepont Ave, Potsdam, NY 13676-2200 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170702 | Lucille D'agostino | Nurse Practitioner | 6805 State Highway 11, Potsdam, NY 13676 | 2020-07-02 |
| 1942851969 | Carrie E Sullivan | Counselor | 6956 Ny-56, Potsdam, NY 13676 | 2019-09-20 |
| 1508425786 | David M. Hurlbut Dds Pllc | Dentist | 145 1/2 Market Street, Suite A, Potsdam, NY 13676 | 2019-06-11 |
| 1609358902 | Sara Anne O'brian Polniak | Counselor | 20 Cottage Street, Potsdam, NY 13676 | 2018-09-04 |
| 1215451067 | Sunday Wright Smith | Advanced Practice Midwife | 34 Lawrence Avenue, Potsdam, NY 13676 | 2017-08-02 |
| 1992239891 | Michael Paul Wendell | Nurse Anesthetist, Certified Registered | Canton-potsdam Hospital, 50 Leroy Street, Potsdam, NY 13676 | 2017-04-18 |
| 1023561495 | Rocky Mountain Holdings, LLC | Ambulance | 150 Hatch Rd, Potsdam, NY 13676 | 2016-08-02 |
| 1942658398 | Samantha Lucas | Physician Assistant | 49 Lawrence, Urgent Care, Potsdam, NY 13676 | 2016-05-26 |
| 1205237880 | State Hearing and Audiology, PC | Audiologist-Hearing Aid Fitter | 6604 State Route 56, Potsdam, NY 13676 | 2014-09-15 |
| 1649607888 | Talia Elizabeth Foster | Acupuncturist | 22 Depot St. Suite 13, Potsdam, NY 13676 | 2013-10-02 |
| Find all providers in zip 13676 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336709534 | Clarkson University | Specialist/Technologist | 8 Clarkson Ave # 5830, Potsdam, NY 13699-9001 | 2019-06-19 |
| 1356618110 | Michael Thomas Pitts | Specialist/Technologist | 8 Clarkson Ave, Athletics, Potsdam, NY 13699-1401 | 2011-11-22 |
| 1093082851 | Morgan Nicole Collins | Specialist/Technologist | 8 Clarkson Ave., Potsdam, NY 13699 | 2011-11-22 |
| 1770500696 | Heather Anne Pike | Specialist/Technologist | 44 Pierrepont Ave, Potsdam, NY 13676-2200 | 2006-07-16 |
| 1033601976 | Alexandra Berking | Specialist/Technologist | 44 Pierrepont Ave, Potsdam, NY 13676-2200 | 2018-06-06 |
| 1598018442 | Alana Marie Alpert | Specialist/Technologist | 8 Clarkson Ave, Box 5130, Potsdam, NY 13669 | 2012-10-16 |
| 1982973087 | Rob Alan Brookes | Specialist/Technologist | 6604 State Highway 56, Apt #3, Potsdam, NY 13676-3545 | 2011-12-19 |
| 1710266739 | Brenda Crawford | Specialist/Technologist | 100 Market St, Apt 21, Potsdam, NY 13676-1790 | 2011-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779309 | Jonathan Edwards | Specialist/Technologist | 39 Monty St, Plattsburgh, NY 12901-3702 | 2020-10-30 |
| 1245830207 | Skyler Lauren Cirillo | Specialist/Technologist | 1000 Hempstead Turnpike, Hempstead, NY 11549-0001 | 2020-10-29 |
| 1790384410 | Gina Siracusano | Specialist/Technologist | 630 Mastic Rd Ste 4, Mastic Beach, NY 11951-1020 | 2020-10-23 |
| 1134728504 | Corinne Edwards | Specialist/Technologist | 3606 Nutt Rd, Jamestown, NY 14701-9432 | 2020-10-18 |
| 1720687163 | Theresa A Trump | Specialist/Technologist | 7 Mapleline Rd, Ballston Lake, NY 12019-1589 | 2020-10-17 |
| 1235738667 | Erica Michalski | Specialist/Technologist | 157 Hillpine Rd, Cheektowaga, NY 14227-2261 | 2020-10-17 |
| 1396344743 | Jared Russom | Specialist/Technologist | 13 Brookview Ave., Delmar, NY 12054 | 2020-10-17 |
| 1720686231 | Leighann Buzzard | Specialist/Technologist | 277 Forbes Ave, Tonawanda, NY 14150-4705 | 2020-10-16 |
| 1861090367 | Jake Savino | Specialist/Technologist | 185 Oak Ave, Staten Island, NY 10306-4002 | 2020-10-15 |
| 1992303572 | Elise Fitzsimmons | Specialist/Technologist | 9 Laker Hall, Oswego, NY 13126 | 2020-10-15 |
| Find all providers with the same taxonomy | ||||
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| 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.