Active NPI
Kristina Estelle Scanzani-Johnson, APRN
- Family Medicine Physician
- Bristol, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 21401
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0024191470 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Hospice Services LLC | Single Specialty | Current | Accepting new patients |
| Heartland Hospice Services, LLC | Single Specialty | Current | Accepting new patients |
| HCR Manorcare Medical Services of Florida LLC | Single Specialty | Current | Accepting new patients |
| Gastrointestinal Associates of Northeast Tennessee, PC | Single Specialty | Current | 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.
-
- Gastroenterology Physician
- Johnson City, TN
- NPI 1578529632
Single Specialty
-
- Nurse Practitioner
- Toledo, OH
- NPI 1386750420
SC, Single Specialty
-
- Community Based Hospice Care Agency
- Myrtle Beach, SC
- NPI 1457380586
Single Specialty
-
- Community Based Hospice Care Agency
- Simpsonville, SC
- NPI 1619906757
Single Specialty
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Beltsville, MD
- NPI 1902545270
Single Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.