Active NPI
Kristine Kay Johnson, DC
- Chiropractor
- Cape Coral, FL
National Provider Identifier
1376732834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH5548
- Practice address
- 2717 Santa Barbara Blvd Ste 8
Cape Coral, FL 33914-4432 - Phone
- (239) 458-5747
- Fax
- (239) 541-2257
- NPI assigned
- Oct 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH5548 | FL | Primary |
Addresses
Primary practice location
2717 Santa Barbara Blvd Ste 8
Cape Coral, FL 33914-4432
Mailing address
2717 Santa Barbara Blvd Ste 8
Cape Coral, FL 33914-4432
Phone (239) 458-5747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH5548 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346112000000",
"number": "1376732834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2717 SANTA BARBARA BLVD STE 8",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339144432",
"telephone_number": "239-458-5747",
"fax_number": "239-772-8747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2717 SANTA BARBARA BLVD STE 8",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339144432",
"telephone_number": "239-458-5747",
"fax_number": "239-541-2257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "KRISTINE",
"middle_name": "KAY",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-22",
"last_updated": "2012-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH5548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.