Individual provider Active NPI

Kristina Estelle Scanzani-Johnson, APRN

  • Family Medicine Physician
  • Bristol, VA
National Provider Identifier
1992217707
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21401 Issued in SC
Practice address
1269 Old Euclid Ctr
Bristol, VA 24201-3852
Phone
(276) 494-0017
Fax
(276) 494-0109
NPI assigned
Nov 2, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 21401 SC Primary
Nurse Practitioner 363L00000X 37146 TN
Family Nurse Practitioner 363LF0000X 0024191470 VA

Addresses

Primary practice location

1269 Old Euclid Ctr
Bristol, VA 24201-3852

Mailing address

722 Arlington Ave
Bristol, VA 24201-3402
Phone (843) 801-2074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, TN2 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
I20180321002151 SC Practitioner - Nurse Practitioner 3476815986 Reassigns benefits to 2 organizations
I20250109001164 TN Practitioner - Nurse Practitioner 3476815986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastrointestinal Associates of Northeast Tennessee, PCGroup PAC ID 7416923396, 16 clinicians

Practice addresses (Care Compare)

310 N State of Franklin Rd
Suite 202
Johnson City, TN 37604-6063
Phone (423) 929-7111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024191470VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Hospice Services LLC Single Specialty CurrentSince Jun 15, 2020 Accepting new patients
Heartland Hospice Services, LLC Single Specialty CurrentSince Jun 15, 2020 Accepting new patients
HCR Manorcare Medical Services of Florida LLC Single Specialty CurrentSince Feb 19, 2018 Accepting new patients
Gastrointestinal Associates of Northeast Tennessee, PC Single Specialty CurrentSince Sep 20, 2024 Accepting new patients
Heartland Hospice Services LLC Single Specialty Current Accepting new patients

Locations

L2540
Columbus, OH 43260

333 N Summit St
Fl 7
Toledo, OH 43604
Phone (419) 252-5909

1137 Sam Rittenberg Blvd
Charleston, SC 29407
Phone (843) 720-5665

601 Sulphur Springs Rd
Greenville, SC 29617
Phone (828) 246-2721

2050 Corporate Centre Dr
Ste 220
Myrtle Beach, SC 29577
Phone (843) 444-0813

310 N State of Franklin Rd
Ste 202
Johnson City, TN 37604
Phone (423) 434-3700

Organizations & group practices 5

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": "1509580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1992217707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 ARLINGTON AVE",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242013402",
            "telephone_number": "843-801-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1269 OLD EUCLID CTR",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242013852",
            "telephone_number": "276-494-0017",
            "fax_number": "276-494-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCANZANI-JOHNSON",
        "first_name": "KRISTINA",
        "middle_name": "ESTELLE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-02",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "21401",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "37146",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024191470",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, VA

Sources for this page

Verify at the official NPI Registry.