Individual provider Active NPI

Kristen Coles Johnson, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Panama City, FL
National Provider Identifier
1396239224
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11013659 Issued in FL
Practice address
1220 Jenks Ave
Panama City, FL 32401-2441
Phone
(850) 684-1874
NPI assigned
Jun 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11013659 FL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP10018 LA

Addresses

Primary practice location

1220 Jenks Ave
Panama City, FL 32401-2441

Mailing address

3450 Cherry Ridge Rd
Lynn Haven, FL 32444-5640
Phone (318) 355-4433

Other practice location 1

10150 Highland Manor Dr Ste 205
Tampa, FL 33610-9727
Phone (813) 259-1013

Other practice location 2

1105 Hudson Ln
Monroe, LA 71201-6003
Phone (318) 322-6500

Other practice location 3

3450 Cherry Ridge Rd
Lynn Haven, FL 32444-5640
Phone (318) 355-4433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190115000792 LA Practitioner - Nurse Practitioner 8022354935 Reassigns benefits to 1 organization
I20210707001849 FL Practitioner - Nurse Practitioner 8022354935 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Group of Louisiana Inc CurrentSince Mar 1, 2021 Accepting new patients
Physician Group of Louisiana Inc CurrentSince Mar 1, 2021 Accepting new patients
Family Solutions Pediatrics, LLC Past Accepting new patients
Family Solutions Counseling Center PastSince Mar 29, 2020 Accepting new patients

Locations

128 Ridgedale Dr
Ste 1
West Monroe, LA 71291
Phone (318) 329-4419

503 McMillan Rd
Fl 2
West Monroe, LA 71291
Phone (318) 329-3475

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1396239224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 CHERRY RIDGE RD",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324445640",
            "telephone_number": "318-355-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012441",
            "telephone_number": "850-684-1874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10150 Highland Manor Dr Ste 205",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336109727",
            "country_code": "US",
            "telephone_number": "813-259-1013",
            "fax_number": "813-254-0396",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1105 Hudson Ln",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712016003",
            "country_code": "US",
            "telephone_number": "318-322-6500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3450 Cherry Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Lynn Haven",
            "state": "FL",
            "postal_code": "324445640",
            "country_code": "US",
            "telephone_number": "318-355-4433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KRISTEN",
        "middle_name": "COLES",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11013659",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP10018",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.