Active NPI
Kristin Marie Johnson, ARNP, AGACNP-BC
- Acute Care Nurse Practitioner
- Lakeland, FL
National Provider Identifier
1992284103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- ARNP9372403
- Practice address
- 4315 Highland Park Blvd
Suite a
Lakeland, FL 33813 - Phone
- (863) 816-5884
- Fax
- (863) 940-4856
- NPI assigned
- Aug 8, 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | ARNP9372403 | FL | Primary |
Addresses
Primary practice location
4315 Highland Park Blvd
Suite a
Lakeland, FL 33813
Mailing address
4315 Highland Park Blvd
Suite a
Lakeland, FL 33813
Phone (863) 816-5884
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, WI
- 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
- University of South Florida College of Medicine, 2017
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1280 Chandler Dr
Spooner, WI 54801-2202
Phone (715) 635-2111
Hospital & facility affiliations
- Spooner Health System
- North Memorial Health Hospital
- Essentia Health St Mary'S Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9372403 | FL | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allied Healthcare LLC | Current | Accepting new patients | |
| Tampa General Hospital | Current | Accepting new patients | |
| Central Florida Inpatient Medicine LLC | Current | Accepting new patients | |
| Cogent Healthcare of Pensacola LLC | Current | Accepting new patients | |
| Spooner Health System, Inc. | Current | Accepting new patients | |
| Cogent Healthcare of Pensacola LLC | Current | Accepting new patients | |
| Cogent Healthcare of Pensacola LLC | Current | Accepting new patients |
Locations
17240 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-6060
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
525 Technology Park
Ste 109
Lake Mary, FL 32746
Phone 4076472346 ext. 111
1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410
14690 Spring Hill Dr
Ste 101
Spring Hill, FL 34609
1280 Chandler Dr
Spooner, WI 54801
Phone (715) 635-2111
Interoperability endpoints
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
- kjohnson296480@direct.tgh.org
Organizations & group practices 7
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.
-
- Critical Access Hospital
- Spooner, WI
- NPI 1518982628
-
- Internal Medicine Physician
- Spring Hill, FL
- NPI 1558089367
-
- Internal Medicine Physician
- Lake Mary, FL
- NPI 1649228859
-
- Internal Medicine Physician
- Jacksonville Beach, FL
- NPI 1346287182
-
- Internal Medicine Physician
- Spring Hill, FL
- NPI 1003499120
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1427631696
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Robbinsdale, MN
- NPI 1851344907
-
- Critical Access Hospital
- Spooner, WI
- NPI 1518982628
-
- General Acute Care Hospital
- Duluth, MN
- NPI 1457393035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533686400000",
"number": "1992284103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4315 HIGHLAND PARK BLVD",
"address_2": "SUITE A",
"city": "LAKELAND",
"state": "FL",
"postal_code": "33813",
"telephone_number": "863-816-5884",
"fax_number": "863-940-4856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4315 HIGHLAND PARK BLVD",
"address_2": "SUITE A",
"city": "LAKELAND",
"state": "FL",
"postal_code": "33813",
"telephone_number": "863-816-5884",
"fax_number": "863-940-4856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "KRISTIN",
"middle_name": "MARIE",
"credential": "ARNP, AGACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-08",
"last_updated": "2018-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "FL",
"license": "ARNP9372403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.