Kristine Elizabeth Johnson, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

001950 Issued in NY

Practice address

4450 Camp Swift Rd
Fort Drum
Fort Drum, NY 13602

Phone

(315) 262-4925

NPI assigned

Sep 20, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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": "1253404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1083948376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 CRESCENT ST",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "136171105",
            "telephone_number": "315-262-4925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 CAMP SWIFT RD",
            "address_2": "FORT DRUM",
            "city": "FORT DRUM",
            "state": "NY",
            "postal_code": "13602",
            "telephone_number": "315-262-4925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 Romoda Dr",
            "address_2": "Augsbury, Athletic Training Room",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "NY",
            "postal_code": "136171423",
            "country_code": "US",
            "telephone_number": "315-229-5759",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44 Pierrepont Ave",
            "address_purpose": "LOCATION",
            "city": "Potsdam",
            "state": "NY",
            "postal_code": "13676",
            "country_code": "US",
            "telephone_number": "315-267-2074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KRISTINE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-20",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT004512",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "001950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "computer",
            "affiliation": "N",
            "address_1": "4450 Camp Swift Rd",
            "address_2": "Fort Drum",
            "city": "Fort Drum",
            "state": "NY",
            "country_code": "US",
            "postal_code": "13602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Matthew Tyler Hunter, DO
• Paula Jank
• Laurel Jarvis, PH.D.
• Brooke A. Jensen
• Joseph Johnson, DPT
• Melissa H Johnson, DDS
• Wayne Michael Johnson, PTA, CCI
• Christopher Allen Jones, PHARMD.
• Diane Keating Jones, D.O
• Spencer Joseph, DDS

• Athletic Trainer in Fort Drum, NY
• Providers in Fort Drum, NY by specialty
• Athletic Trainer in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; 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.