Kris Johnston, DACM, AGPC-NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

309251 Issued in NY

Practice address

28 Jones St
Suite 101
East Setauket, NY 11733-2941

Phone

(631) 675-9000

Fax

(631) 675-9002

NPI assigned

Jul 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24283/brand/1/csg/1/fhir/r4

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.

• KK NP in Adult Health LLP

  • Nurse Practitioner
  • Port Jefferson, NY
  • NPI 1588246466

  Acupuncturist

  NPD Authorized official

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

{
    "created_epoch": "1184457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1457550907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 UNION BLVD STE 1",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067952",
            "telephone_number": "631-675-9000",
            "fax_number": "631-675-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 JONES ST",
            "address_2": "SUITE 101",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117332941",
            "telephone_number": "631-675-9000",
            "fax_number": "631-675-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "KRIS",
        "name_prefix": "Dr.",
        "credential": "DACM, AGPC-NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-15",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "003434",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "309251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Carlucci LCSW P.C.
• Jessica Seely, LLC
• Eydie Johnson, D.P.T.
• Richard Wayne Johnson, PT, EDD
• Debra A Johnston, C S W
• Chanel Alexandria Jones
• Cyril Joy, DO
• Tracy Ann Julca
• Katrina Andrea Juliano, LAC
• Angelica Jurado

• Nurse Practitioner in East Setauket, NY
• Providers in East Setauket, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.