Kirsten Nations Johnson, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN139381 Issued in GA

Practice address

20 Collins Dr Ste B
Cartersville, GA 30120-8533

Phone

(770) 607-0795

Fax

(770) 607-1339

NPI assigned

Mar 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

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

• Peach Pediatrics LLC

  • Pediatrics Physician
  • Cumming, GA
  • NPI 1447075403
  NPD (past)
• Pediatric Medicine of Cartersville, P.C.

  • Family Nurse Practitioner
  • Cartersville, GA
  • NPI 1851444632

  Pediatrics

  NPD (past)
• Y. H. Parikh & Associates

  • Pediatrics Physician
  • Norcross, GA
  • NPI 1811260144
  NPD (past)

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1972564102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 COLLINS DR STE B",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301208533",
            "telephone_number": "770-607-0795",
            "fax_number": "770-607-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 COLLINS DR STE B",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301208533",
            "telephone_number": "770-607-0795",
            "fax_number": "770-607-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KIRSTEN",
        "middle_name": "NATIONS",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CO",
            "license": "172752",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN139381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE ID NUMBER",
            "identifier": "336125",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEACH STATE ID",
            "identifier": "000861627C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5261615",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "598970",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000861627C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS TRICARE",
            "identifier": "049906810",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10057735",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John S. Thomas, M.D.
• Emmanuel Maduabuchim John, APRN/ PMHNP
• Johnson Audiology
• Johnson Audiology of Cartersville Inc
• Jennifer M Johnson
• Lori Gaddis Johnson, M.S.
• Mary Elisabeth Johnson
• Pamela A Johnson, LAPC
• Andwele M Jolly, PT
• Sarah E Jolly

• Pediatric Nurse Practitioner in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Pediatric Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.