Kristin L Johnson (NPI# 1104143007, PAC ID# 5597896365) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1104143007 |
| PAC ID by PECOS | 5597896365 |
| Professional Enrollment ID | I20100623000838 |
| Full Name | Kristin L Johnson |
| Organization Legal Name | BASS LAKE CHIROPRACTIC CLINIC PA |
| Address |
9220 Bass Lake Rd Suite 265 New Hope MN 55428-3019 |
| Phone Number | 7635378070 |
| Gender | F |
| Medical School | NORTHWESTERN COLLEGE OF CHIROPRACTIC |
| Graduation Year | 2010 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 6800837329 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 9220 Bass Lake Rd, Suite 265, New Hope, MN 55428-3019 | 7635378070 | BASS LAKE CHIROPRACTIC CLINIC PA |
| Organization Legal Name | BASS LAKE CHIROPRACTIC CLINIC PA |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan Wesley Morris | Chiropractic | Bass Lake Chiropractic Clinic Pa | 9220 Bass Lake Rd, Suite 265, New Hope, MN 55428-3019 |
| Street Address |
9220 BASS LAKE RD SUITE 265 |
| City | NEW HOPE |
| State | MN |
| Zip | 55428-3019 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan Smith Cannistraci | Physical Therapy | Fairview Health Services | 9220 Bass Lake Rd, Suite 260, New Hope, MN 55428-3019 |
| Jonathan Wesley Morris | Chiropractic | Bass Lake Chiropractic Clinic Pa | 9220 Bass Lake Rd, Suite 265, New Hope, MN 55428-3019 |
| Hannah L Williamson | Qualified Speech Language Pathologist | Fairview Health Services | 9220 Bass Lake Rd, Suite 260, New Hope, MN 55428-3019 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Todd K Love | Family Medicine | North Memorial Health Care | 8100 42nd Ave N, New Hope, MN 55428-1100 |
| Abigail M Gilgenbach | Clinical Social Worker | North Memorial Health Care | 8100 42nd Ave N, New Hope, MN 55428-1100 |
| Mrunmayee A Barve | Family Medicine | North Memorial Health Care | 8100 42nd Ave N, New Hope, MN 55428-1100 |
| Heather L Labere | Family Medicine | North Memorial Health Care | 8100 42nd Ave N, New Hope, MN 55428-1100 |
| Stacy A Shrestha | Nurse Practitioner | 7100 Northland Cir N, Suite 119, Brooklyn Park, MN 55428-1500 | |
| Alfred V Anderson | Pain Management | Realief Medical, Pa | 7100 Northland Cir N, Suite 119, Brooklyn Park, MN 55428-1500 |
| Tammie J Porras | Nurse Practitioner | Realief Medical, Pa | 7100 Northland Cir N, Brooklyn Park, MN 55428-1500 |
| Everlyn J Tarus | Nurse Practitioner | Minuteclinic Diagnostic Pa | 7901 Bass Lake Rd, New Hope, MN 55428-3105 |
| Elizabeth M Therkilsen | Nurse Practitioner | Minuteclinic Diagnostic Pa | 7901 Bass Lake Rd, New Hope, MN 55428-3105 |
| Heather Sara Smith | Chiropractic | 4900 Hwy 169 N, Suite 250, New Hope, MN 55428-4058 | |
| Find all physicians in zip 55428 | |||
| City | NEW HOPE |
| Zip Code | 55428 |
| Specialty | CHIROPRACTIC |
| City + Specialty | NEW HOPE + CHIROPRACTIC |
Please comment or provide details below to improve the information on Kristin L Johnson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.