Kristy Smith Johnson

Primary specialty

PsychologistTaxonomy code 103T00000X

License

4818 Issued in NC

Practice address

11330 Vanstory Dr Ste 109
Huntersville, NC 28078-8146

Phone

(304) 444-8735

Fax

(980) 422-0240

NPI assigned

Feb 27, 2018

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": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1144721846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11330 VANSTORY DR STE 109",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280788146",
            "telephone_number": "304-444-8735",
            "fax_number": "980-422-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11330 VANSTORY DR STE 109",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280788146",
            "telephone_number": "304-444-8735",
            "fax_number": "980-422-0240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11330 Vanstory Dr Ste 109",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280788146",
            "country_code": "US",
            "telephone_number": "304-444-8735",
            "fax_number": "980-422-0240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH JOHNSON",
        "first_name": "KRISTY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-27",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "4818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Elizabeth Skitt
• Lila Estelle Skropeta, PA-C
• Michael Thomas Skropeta, PA-C
• Michael Brian Slater, AU. D.
• Anastasia V. Slisenko, DNP
• Samantha Smith-Bowman, R.D.
• Alexis Christine Smith, D.O.
• Arley Corinne Smith, LPC, LCMHC
• Brian Smith, DPT
• Cliff Reid Smith, DO

• Psychologist in Huntersville, NC
• Providers in Huntersville, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.