Individual provider Active NPI

Kristi A Johnson, MD

  • Obstetrics & Gynecology Physician
  • Salem, OH
National Provider Identifier
1023099298
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35-079419 Issued in OH
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

Updated by the provider on Oct 30, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2236342MedicaidOH

Other names 1

  • Dr. Kristi A Nixon Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 IncGroup PAC ID 8123928645, 9 clinicians

Practice addresses (Care Compare)

7880 Lincole PL
Lisbon, OH 44432-8322
Phone (330) 424-5686

Hospital & facility affiliations

  • Salem Regional Medical Center Hospital, Salem, OH, CCN 360185

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-079419OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Action Agency of Columbiana County Inc CurrentSince Sep 2, 2019 Accepting new patients
Community Action Agency of Columbiana County Inc CurrentSince Sep 2, 2019 Accepting new patients
Advanced Women'S Care Inc Obstetrics & Gynecology CurrentSince Feb 23, 2019 Accepting new patients
Community Action Agency of Columbiana County Inc CurrentSince Sep 2, 2019 Accepting new patients
Wooster Obstetrics & Gynecology Inc Obstetrics & Gynecology PastSince Feb 1, 2001 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.