Active NPI
Kristi Noelle Johnston
- Occupational Therapist
- Greenville, SC
National Provider Identifier
1851899314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 18108
- Practice address
- 1934 N Pleasantburg Dr
Greenville, SC 29609-4036 - Phone
- (714) 745-7182
- NPI assigned
- Jan 30, 2018
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 18108 | CA | Primary |
Addresses
Primary practice location
1934 N Pleasantburg Dr
Greenville, SC 29609-4036
Mailing address
210 Highgate Cir
Greer, SC 29650-4766
Other practice location 1
249 E Ocean Blvd
Long Beach, CA 90802-4849
Phone (888) 808-7838
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18108 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646611200000",
"number": "1851899314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 HIGHGATE CIR",
"city": "GREER",
"state": "SC",
"postal_code": "296504766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1934 N PLEASANTBURG DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296094036",
"telephone_number": "714-745-7182"
}
],
"practiceLocations": [
{
"address_1": "249 E Ocean Blvd",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "908024849",
"country_code": "US",
"telephone_number": "888-808-7838",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSTON",
"first_name": "KRISTI",
"middle_name": "NOELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-30",
"last_updated": "2022-03-07",
"certification_date": "2022-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "18108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.