MS. KRISTIE JOHNSON


Address: 215 N 3rd St, Leesburg, FL 34748-5105
Phone: 3523157500

MS. KRISTIE JOHNSON (NPI# 1679892616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679892616
Entity Type Individual
Full Name MS. KRISTIE JOHNSON
Credential MSN,ARNP,PMHNP-BC
Practice Address 215 N 3rd St
Leesburg
FL 34748-5105
Mailing Address Po Box 491000
Leesburg
FL 34749-1000
Practice Telephone 3523157500
Practice Fax Number 3523606582
Mailing Telephone 3523157500
Mailing Fax Number 3523606582
Enumeration Date 2010-05-28
Last Update Date 2013-02-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
ARNP9258231 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 002630501 05
FL MEDICARE PTAN EX662Z 01

Other Providers KRISTIE JOHNSON

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1720475510 Kristie Johnson Licensed Practical Nurse 206 E Philadelphia Ave, Youngstown, OH 44507-1714 2015-04-20
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1467903138 Kristie Johnson Registered Nurse 13820 19th Ave Ne, Tulalip, WA 98271-6706 2016-10-18
1760933428 Kristie Lynn Johnson Nurse Practitioner 601 E Hampden Ave Ste 310, Englewood, CO 80113-2769 2016-10-18
1811383946 Kristie Johnson Family Medicine 2201 Lake Shore Dr E, Ashland, WI 54806 2015-04-15
1962895524 Kristie Johnson Nurse Practitioner 1005 E Ring Rd, Ironton, OH 45638-9610 2015-03-06
1417395476 Kristie Lynn Johnson Nurse Practitioner 967 N Broadway, Yonkers, NY 10701 2013-06-11
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Office Location

Street Address 215 N 3RD ST
City LEESBURG
State FL
Zip Code 34748-5105

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568019792 Catherine Heflin Case Manager/Care Coordinator 215 N 3rd St, Leesburg, FL 34748-5105 2019-08-22
1629436282 Amanda Neil Registered Nurse 215 N 3rd St, Leesburg, FL 34748-5105 2016-02-10
1235524067 Sinead O'hare Social Worker 215 N 3rd St, Leesburg, FL 34748-5105 2015-03-30
1659613776 Lifestream Behavioral Center Inc Clinic/Center 215 N 3rd St, Leesburg, FL 34748-5105 2013-03-27
1518256940 Jessica Lee Beach Social Worker 215 N 3rd St, Leesburg, FL 34748-5105 2011-04-06
1518264316 Cindy Edwards Counselor 215 N 3rd St, Leesburg, FL 34748-5105 2011-02-15
1679878599 Krishniah Ramsetty Psychiatry & Neurology 215 N 3rd St, Leesburg, FL 34748-5105 2011-01-25
1487959078 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 215 N 3rd St, Leesburg, FL 34748-5105 2011-01-13
1013232446 Linda L Silverman Counselor 215 N 3rd St, Leesburg, FL 34748-5105 2010-03-29
1710198239 Miguel Angel Correa Family Medicine 215 N 3rd St, Leesburg, FL 34748-5105 2007-05-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437610243 Ashley Shamsa Martin Behavior Technician 292 Bent Oak Ct, Leesburg, FL 34748 2019-03-26
1891278875 Luis O Aponte Mendoza Physician Assistant 704 Doctors Ct., Suite 101, Leesburg, FL 34748 2018-09-14
1881197903 Physician Associates LLC Internal Medicine 22316 Us Highway 27, Leesburg, FL 34748 2018-03-15
1184136145 Infinite Support Services LLC In Home Supportive Care 129 Grove Ridge Circle, 104, Leesburg, FL 34748 2017-10-31
1619403037 Massage and Wellness Care Health Maintenance Organization 1218 W. Dixie Ave, Suite A, Leesburg, FL 34748 2017-05-04
1497202675 Prime Radiology of Leesburg Inc Radiology 600 N W Blvd, Suite E, Leesburg, FL 34748 2016-09-06
1023480332 Juanita Elizabeth Simpson Contractor 1911 Harcourt Drive, Leesburg, FL 34748 2015-10-26
1467835900 Serenity Choice Place, LLC Community/Behavioral Health 721 Balmoral Circle, Leesburg, FL 34748 2015-07-01
1356738397 Touching Heart's Group Homes, LLC Community/Behavioral Health 31809 Sunpark Cir, Leesburg, FL 34748 2015-04-16
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1821258484 Susan Maureen Archacki-resnik Nurse Practitioner Lifestream Behavioral Center, 2020 Tally Rd, Leesburg, FL 34749-1000 2008-06-16
1821163940 Linda D Stalters Nurse Practitioner 43490 Millwright Ter, Leesburg, VA 20176-8466 2006-11-22
1275622375 Paula K Reilley Nurse Practitioner 104 E Dixie Ave, Leesburg, FL 34748-6350 2006-10-12
1952879439 Mika Lyne Riley Nurse Practitioner 42009 Victory Ln, Leesburg, VA 20176-6269 2018-11-02
1689191017 Yoneka Tahisha Powell Nurse Practitioner 104 E Dixie Ave, Leesburg, FL 34748-6350 2017-08-25
1770987570 Maria Jeffries Nurse Practitioner 42009 Victory Ln, Leesburg, VA 20176-6269 2014-10-22
1346261104 Kathleen Jones-shupe Nurse Practitioner 101 S 11th St, Suite1, Leesburg, FL 34748-5767 2006-07-21

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Competitor

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City LEESBURG
Zip Code 34748

Improve Information

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Dataset Information

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.

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