Kristy D. Johnson, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A003729 Issued in AR

Practice address

9146 Highway 63 N
Bono, AR 72416-8153

Phone

(870) 930-9990

NPI assigned

Sep 27, 2012

Last updated

Sep 27, 2012By the provider in NPPES

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)

Enrolled

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1174874366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9146 HIGHWAY 63 N",
            "city": "BONO",
            "state": "AR",
            "postal_code": "724168153",
            "telephone_number": "870-930-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9146 HIGHWAY 63 N",
            "city": "BONO",
            "state": "AR",
            "postal_code": "724168153",
            "telephone_number": "870-930-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KRISTY",
        "middle_name": "D.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-27",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A003729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Haley
• Healing Hands Primary Care LLC
• Tiffany Paige Holcomb, APRN, FNP-BC
• Courtney Reese Johnson
• Jocelyn Johnson, OTRL
• Gaylon Jones
• Jonesboro Pediatric Therapy, Inc.
• Hannah Jordan
• Emma Jung
• Megan Knight

• Family Nurse Practitioner in Bono, AR
• Providers in Bono, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.