Kristin Lynn Johannsen, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0344 Issued in SD

Practice address

S Dakota State University 2820 Hper Ctr
Brookings, SD 57007-0001

Phone

(605) 688-4003

NPI assigned

Aug 27, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282867200000",
    "number": "1063728079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 SOUTHLAND LANE",
            "address_2": "APARTMENT 205",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570063550",
            "telephone_number": "605-310-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S DAKOTA STATE UNIVERSITY 2820 HPER CTR",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570070001",
            "telephone_number": "605-688-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHANNSEN",
        "first_name": "KRISTIN",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-27",
        "last_updated": "2010-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SD",
            "license": "0344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Jahn, O.D.
• Brianna Reeder Jakubiak, LPC
• Molly Janssen
• Jason Jahn OD PC
• Elizabeth Claire Jewett, DPT, PT
• John P. Bisson, D.D.S., P.L.L.C
• Evelyn Johner
• Brenda Lenae Johnson, CNP
• Debra K. Johnson, MS LPCMH
• Geoffrey B Johnson, DDS

• Athletic Trainer in Brookings, SD
• Providers in Brookings, SD by specialty
• Athletic Trainer in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.