KRISTOFER K JOHNSON (NPI# 1548411770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548411770 |
| Entity Type | Individual |
| Full Name | KRISTOFER K JOHNSON |
| Credential | PA |
| Practice Address |
12606 E Mission Ave Spokane Valley WA 99216-3421 |
| Mailing Address |
Po Box 758701 Baltimore MD 21275-8701 |
| Practice Telephone | 5099246650 |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2008-10-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA60049525 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LICENSE | PA60049525 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699013052 | Kristofer Michael Johnson | Counselor | 700 S W Penn, Bartlesville, OK 74003-3847 | 2013-01-19 |
| 1386782498 | Kristofer Johnson | Social Worker | 1411 Lincolnway W, Mishawaka, IN 46544-1626 | 2007-02-01 |
| Street Address |
12606 E MISSION AVE |
| City | SPOKANE VALLEY |
| State | WA |
| Zip Code | 99216-3421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154329837 | Lyle Edgar Gates Jr. | Nurse Anesthetist, Certified Registered | 12606 E Mission Ave, Spokane Valley, WA 99216-3421 | 2005-07-07 |
| 1477186740 | Hartshorn Surgical Pllc | General Acute Care Hospital | 12606 E Mission Ave, Spokane Valley, WA 99216-3421 | 2020-02-14 |
| 1194368134 | Erin Rose Holland | Nurse Practitioner | 12606 E Mission Ave, Spokane Valley, WA 99216-3421 | 2019-10-22 |
| 1437634961 | Janet Leigh Woodward | Nurse Practitioner | 12606 E Mission Ave, Spokane Valley, WA 99216-3421 | 2018-10-01 |
| 1760929160 | Jordan Rafter | Nurse Practitioner | 12606 E Mission Ave, Spokane Valley, WA 99216-3421 | 2017-01-23 |
| 1174986442 | Andrew Yeromenko | Pharmacist | 12606 E Mission Ave, Spokane Valley, WA 99216-3421 | 2016-04-03 |
| 1013381474 | Stacie Harley | Pharmacist | 12606 E Mission Ave, Spokane Valley, WA 99216-3421 | 2015-11-23 |
| 1518364868 | Washington Hospitalists, Pllc | Hospitalist | 12606 E Mission Ave, Spokane Valley, WA 99216-3421 | 2014-12-02 |
| 1689073876 | Jacqueline M Bassett | Registered Nurse | 12606 E Mission Ave, Spokane Valley, WA 99216-3421 | 2014-08-14 |
| 1447664529 | Kaleb Lorenz Topp | Emergency Medicine | 12606 E Mission Ave, Spokane Valley, WA 99216-3421 | 2014-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053920124 | Aark Laboratory | Clinical Medical Laboratory | 12709 E Mirabeau Pkwy Bldg A Ste 500, Spokane, WA 99216 | 2020-07-24 |
| 1922622158 | Vera Whole Health Wa, PC | Clinic/Center | 16009 E Indiana Ave, Spokane Valley, WA 99216 | 2020-06-03 |
| 1023654001 | Rebecca Elizabeth Ryan | Massage Therapist | 12505 E 23rd Ave, Spokane Valley, WA 99216 | 2019-11-25 |
| 1356992903 | Creative Communication LLC | Speech-Language Pathologist | 13607 E. Sprague Ave, Spokane Valley, WA 99216 | 2019-09-25 |
| 1972096584 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 15319 E Indiana Ave Ste 2, Spokane Valley, WA 99216 | 2018-06-08 |
| 1356845655 | Rp Operations, LLC | Assisted Living Facility | 13013 E Mission Ave, Spokane Valley, WA 99216 | 2018-03-21 |
| 1174036305 | Talk, Learn and Communicate | Speech-Language Pathologist | 13607 East Spraque Avenue, Spokane Valley, WA 99216 | 2017-11-09 |
| 1134638281 | Vtc Vitality Healthcare | Pain Medicine | 12409 E Mission Ave Ste 102, Spokane Valley, WA 99216 | 2017-09-20 |
| 1285150086 | Robert C Tsay Jr. | Pharmacist | 12415 E 12th Ave, Apt 110, Spokane Valley, WA 99216 | 2017-08-15 |
| 1629505607 | Spokane Valley Medical, Inc | Durable Medical Equipment & Medical Supplies | 12509 E. Mission Ave, Suite #103, Spokane, WA 99216 | 2017-05-22 |
| Find all providers in zip 99216 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447269923 | Nathaniel Van Valin | Physician Assistant | 15425 E Mission Ave, Spokane Valley, WA 99037-9505 | 2006-08-05 |
| 1467970616 | Jesus Primitivo Rendon | Physician Assistant | 12709 E Mirabeau Pkwy, Bldg A Ste 200, Spokane Valley, WA 99216 | 2017-09-07 |
| 1982121125 | Christian D Garrido | Physician Assistant | 12709 E Mirabeau Pkwy, Bldg A Ste 200, Spokane Valley, WA 99216-1665 | 2017-08-28 |
| 1568864841 | Chris Palmer | Physician Assistant | 15812 E Indiana Ave, Spokane Valley, WA 99216-1875 | 2014-09-18 |
| 1407280704 | Kevin Bichler | Physician Assistant | 12418 E Saltese Ave, Spokane Valley, WA 99216-0357 | 2013-08-23 |
| 1811226962 | Kevin R Bichler | Physician Assistant | 12418 E Saltese Ave, Spokane Valley, WA 99216 | 2009-12-21 |
| 1881921211 | Amelia D Williams | Physician Assistant | 12401 E Sinto Ave, Spokane Valley, WA 99216-1081 | 2009-11-05 |
| 1972754083 | Brian L Knutson | Physician Assistant | 9227 E Main Ave, Spokane Valley, WA 99206-3768 | 2008-10-07 |
| 1154408631 | Elizabeth Joan Jacobsen | Physician Assistant | 1807 N Hutchinson Rd, Spokane Valley, WA 99212-2444 | 2006-11-01 |
| 1689636649 | Jeanne M Ellern | Physician Assistant | 1807 N Hutchinson Rd, Spokane Valley, WA 99212-2444 | 2006-04-05 |
| Find all providers in SPOKANE VALLEY | ||||
| City | SPOKANE VALLEY |
| Zip Code | 99216 |
Please comment or provide details below to improve the information on KRISTOFER K JOHNSON.
| 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.