Active NPI
Kristie Williams Johnston, AU.D.
- Audiologist
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 0000001112
- Practice address
- 2100 W Clinch Ave Ste 410
Knoxville, TN 37916-2287 - Phone
- (865) 521-6005
- NPI assigned
- Jul 13, 2009
- Last updated
- Jul 13, 2009
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 0000001112 | TN | Primary |
Addresses
Primary practice location
2100 W Clinch Ave Ste 410
Knoxville, TN 37916-2287
Mailing address
12719 Ackley Cir
Knoxville, TN 37934-0849
Phone (865) 671-8689
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- University of Tennessee, HSC, College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9724 Kingston Pike
Suite 205
Knoxville, TN 37922-3347
Phone (865) 694-9870
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000001112 | TN | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evans Innovations, Inc | Current | Accepting new patients | |
| Evans Innovations, LLC | Past | Accepting new patients |
Locations
9724 Kingston Pike
Ste 205
Knoxville, TN 37922
Phone (865) 694-9870
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Audio Life Hearing
- Audiologist-Hearing Aid Fitter
- Knoxville, TN
- NPI 1174760748
-
dba Audiolife Hearing
- Audiologist-Hearing Aid Fitter
- Knoxville, TN
- NPI 1326383720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247443200000",
"number": "1174752026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12719 ACKLEY CIR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379340849",
"telephone_number": "865-671-8689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 W CLINCH AVE STE 410",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379162287",
"telephone_number": "865-521-6005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "KRISTIE",
"middle_name": "WILLIAMS",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-13",
"last_updated": "2009-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TN",
"license": "0000001112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.