Active NPI
Kristi A Johnson, MD
- Obstetrics & Gynecology Physician
- Salem, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 35-079419
- Practice address
- 2376 Southeast Blvd Ste B
Salem, OH 44460 - Phone
- (330) 965-0909
- Fax
- (330) 965-0897
- NPI assigned
- Nov 7, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 35-079419 | OH | Primary |
Addresses
Primary practice location
2376 Southeast Blvd Ste B
Salem, OH 44460
Mailing address
28063 State Route 62
Beloit, OH 44609-9608
Phone (440) 328-7340
Other practice location 1
116 Carriage Dr
Columbiana, OH 44408-8306
Phone (330) 892-0920
Other practice location 2
2094 E State St
Suite B
Salem, OH 44460-4409
Phone (330) 332-1939
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2236342 | Medicaid | OH |
Other names 1
- Dr. Kristi A Nixon
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060925000349 | OH | Practitioner - Obstetrics/Gynecology | 6800813775 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Northeastern Ohio University College of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Action Agency of Columbiana County Inc
Practice addresses (Care Compare)
7880 Lincole PL
Lisbon, OH 44432-8322
Phone (330) 424-5686
Hospital & facility affiliations
- Salem Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-079419 | OH | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Action Agency of Columbiana County Inc | Current | Accepting new patients | |
| Community Action Agency of Columbiana County Inc | Current | Accepting new patients | |
| Advanced Women'S Care Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Community Action Agency of Columbiana County Inc | Current | Accepting new patients | |
| Wooster Obstetrics & Gynecology Inc | Obstetrics & Gynecology | Past | Accepting new patients |
| Salem Women'S Care, Inc | Obstetrics & Gynecology | Past | Accepting new patients |
| Community Action Agency of Columbiana County, Inc | Past | Accepting new patients |
Locations
16480 Saint Clair Ave
East Liverpool, OH 43920
Phone (330) 386-7777
16494 Saint Clair Ave
East Liverpool, OH 43920
Phone (330) 386-7870
7880 Lincole Pl
Lisbon, OH 44432
Phone (330) 424-5686
2376 Southeast Blvd
Ste B
Salem, OH 44460
Phone (330) 965-0909
2020 E State St
Ste K
Salem, OH 44460
Phone (330) 332-7685
600 E 2nd St
Salem, OH 44460
Phone (330) 424-7221
2376 Southeast Blvd
Salem, OH 44460
Phone (330) 337-7255
103 W Main St
Salineville, OH 43945
Phone (330) 679-2303
1111 Boardman Canfield Rd
Youngstown, OH 44512
Phone (330) 965-0909
Interoperability endpoints
- kristi.johnson.p1@direct.sandy.nextgenshare.com
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Lisbon, OH
- NPI 1821041401
OH
-
- Obstetrics & Gynecology Physician
- Boardman, OH
- NPI 1356525745
Obstetrics & Gynecology, OH
-
- Federally Qualified Health Center (FQHC)
- Hanoverton, OH
- NPI 1225914112
-
- Federally Qualified Health Center (FQHC)
- Salineville, OH
- NPI 1508114893
-
- Federally Qualified Health Center (FQHC)
- Salem, OH
- NPI 1356064414
-
- Federally Qualified Health Center (FQHC)
- East Liverpool, OH
- NPI 1689148108
-
- Federally Qualified Health Center (FQHC)
- East Liverpool, OH
- NPI 1841780863
-
- Obstetrics & Gynecology Physician
- Salem, OH
- NPI 1972502201
Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Wooster, OH
- NPI 1003807470
Obstetrics & Gynecology
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540857600000",
"number": "1023099298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28063 STATE ROUTE 62",
"city": "BELOIT",
"state": "OH",
"postal_code": "446099608",
"telephone_number": "440-328-7340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2376 SOUTHEAST BLVD STE B",
"city": "SALEM",
"state": "OH",
"postal_code": "44460",
"telephone_number": "330-965-0909",
"fax_number": "330-965-0897"
}
],
"practiceLocations": [
{
"address_1": "116 Carriage Dr",
"address_purpose": "LOCATION",
"city": "Columbiana",
"state": "OH",
"postal_code": "444088306",
"country_code": "US",
"telephone_number": "330-892-0920",
"fax_number": "330-892-0689",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2094 E State St",
"address_2": "Suite B",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "OH",
"postal_code": "444604409",
"country_code": "US",
"telephone_number": "330-332-1939",
"fax_number": "330-332-2233",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "KRISTI",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-07",
"last_updated": "2018-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OH",
"license": "35-079419",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2236342",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTI",
"last_name": "NIXON",
"middle_name": "A",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Salem, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.