KRISTINA ELANE JOHNSON


Address: 2608 Mcdonald Rd, Tyler, TX 75701-5934
Phone: 9035955514

KRISTINA ELANE JOHNSON (NPI# 1962052514) 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) 1962052514
Entity Type Individual
Full Name KRISTINA ELANE JOHNSON
Credential NP
Practice Address 2608 Mcdonald Rd
Tyler
TX 75701-5934
Mailing Address Po Box 130549
Tyler
TX 75713-0549
Practice Telephone 9035955514
Practice Fax Number 9032623707
Mailing Telephone 9035793931
Mailing Fax Number 9035095835
Enumeration Date 2019-09-16
Last Update Date 2019-09-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner AP140053 TX Physician Assistants & Advanced Practice Nursing Providers

Other Providers KRISTINA JOHNSON

NPI Name Taxonomy Address Enumeration
1992217707 Kristina Estelle Johnson Family Medicine 2662, Lohr Dr, Mount Pleasant, SC 29466 2017-11-02
1033548722 Kristina Johnson Behavioral Analyst 8605 Girard St, Hyattsville, MD 20785-2802 2013-11-04
1528313384 Kristina Johnson Physical Therapist 600 Hartbrook Dr Ste 111, Hartland, WI 53029 2012-07-18
1720354483 Kristina Johnson Doula 207 Whitney Rd, Ashby, MA 01431-2219 2012-03-27
1053554113 Kristina R Johnson Physical Medicine & Rehabilitation 3428 36th Ave S, Minneapolis, MN 55406-2704 2009-04-19
1760553150 Kristina A Johnson Physician Assistant 2700 1st Ave S Ste 100, Fort Dodge, IA 50501-4300 2006-11-10
1275142242 Kristina Johnson Student in an Organized Health Care Education/Training Program 3075 Adeline St Ste 120, Berkeley, CA 94703-2579 2020-07-27
1396379665 Kristina Johnson Student in an Organized Health Care Education/Training Program 402 E Main St, Waterbury, CT 06702-1701 2020-02-26
1942842000 Kristina Johnson Social Worker 1150 E Sherman Blvd, Muskegon, MI 49444-1871 2019-10-10
1801447826 Kristina Johnson Social Worker 333 Church Street, Wrangell, AK 99929 2019-09-20

Office Location

Street Address 2608 MCDONALD RD
City TYLER
State TX
Zip Code 75701-5934

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285629501 Christopher Scott Boylan Internal Medicine 2608 Mcdonald Rd, Tyler, TX 75701-5934 2005-09-13
1003414525 Abram Ambriz Nurse Practitioner 2608 Mcdonald Rd, Tyler, TX 75701-5934 2020-10-16
1538706817 Jason Blaine Scott Nurse Practitioner 2608 Mcdonald Rd, Tyler, TX 75701-5934 2019-12-05
1043787435 Ashley Lyn Tomlin Nurse Practitioner 2608 Mcdonald Rd, Tyler, TX 75701-5934 2018-10-24
1710469259 Natalye Combs Nurse Practitioner 2608 Mcdonald Rd, Tyler, TX 75701-5934 2018-08-31
1891237962 William Elias Mirabal Physician Assistant 2608 Mcdonald Rd, Tyler, TX 75701-5934 2016-11-07
1619371960 Monica Hudspeth Nurse Practitioner 2608 Mcdonald Rd, Tyler, TX 75701-5934 2014-10-15
1881995983 Aleksandr Korniyenko Internal Medicine 2608 Mcdonald Rd, Tyler, TX 75701-5934 2010-11-06
1174784904 Augustine Njoku Internal Medicine 2608 Mcdonald Rd, Tyler, TX 75701-5934 2008-06-24
1952518813 Raul Alexis Torres Heisecke Internal Medicine 2608 Mcdonald Rd, Tyler, TX 75701-5934 2007-05-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962057059 Gonzalo Fernandez Physical Therapy Assistant 753 S Beckham Ave, Tyler, TX 75701 2019-08-06
1215422654 Adrianna Bussell Nurse Practitioner 1000 South Beckham, Tyler, TX 75701 2018-06-28
1285128017 Idowu Akintokunbo Akinyele Dentist Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 2018-06-15
1992208912 Heather Renee Vancleave Occupational Therapy Assistant 1228 Louann Lane, Tyler, TX 75701 2018-03-15
1497260533 Smile Workshop Mckinney, Pllc Dentist 301 N. Custer Rd, Mckinney, TX 75701 2017-12-12
1396266441 Eye Surgery Center of East Texas, Pllc Clinic/Center 2448 E 5th St, Tyler, TX 75701 2017-06-29
1962936369 Collins Complete Family Care Nurse Practitioner 1910 E Se Loop 323 # 176, Tyler, TX 75701 2017-04-12
1386187052 Fellowship Health Team LLC Home Health 1124 S Fleishel Ave, Tyler, TX 75701 2016-11-29
1205382454 Brenton Robinson Nurse Practitioner 1100 East Lake St, 160, Tyler, TX 75701 2016-08-28
1851846208 Care First Pharmacy, LLC Pharmacy 1910 Roseland Blvd A, Tyler, TX 75701 2016-08-15
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841830601 David Clay Mcintyre Nurse Practitioner 7924 S Broadway Ave Ste 900, Tyler, TX 75703-5252 2020-01-09
1750805941 Roger Bryan Chapman Nurse Practitioner 6115 New Copeland Rd, Tyler, TX 75703 2017-07-28
1477925600 Brenda Leath Goings Nurse Practitioner 703 S Fleishel Ave # 5000, Tyler, TX 75701 2015-10-27
1750708368 Crossway Family Health Center Pllc Nurse Practitioner 6004 South Broadway, Tyler, TX 75703-4424 2014-03-20
1780952580 Loretta Eve Wilson Nurse Practitioner 700 Olympic Plaza Cir Ste 904, Tyler, TX 75701-1958 2011-12-07
1558442376 Christina Danielle Barnes Nurse Practitioner 800 E Dawson St - Hospitalists, Tyler, TX 75701 2006-10-18
1164406773 Gayle Pegler Varnell Nurse Practitioner 3900 University Blvd, Tyler, TX 75799-0001 2005-12-06
1922080076 Kerry Scruggs Nurse Practitioner 3310 Patriot Dr, Tyler, TX 75701-6606 2005-11-15
1003414525 Abram Ambriz Nurse Practitioner 2608 Mcdonald Rd, Tyler, TX 75701-5934 2020-10-16
1396350039 Lorna Casey Blakney Nurse Practitioner 1305 Doctors Dr, Tyler, TX 75701-2263 2020-09-10
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Competitor

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City TYLER
Zip Code 75701

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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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