MR. COLTON KYLE JOHNSTON (NPI# 1003376328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003376328 |
| Entity Type | Individual |
| Full Name | MR. COLTON KYLE JOHNSTON |
| Credential | ACNPC-AG |
| Practice Address |
2202 State Ave Ste 207 Panama City FL 32405-4582 |
| Mailing Address |
8700 Front Beach Rd Unit 6307 Panama City Beach FL 32407-4286 |
| Practice Telephone | 8508723939 |
| Mailing Telephone | 8506240880 |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2019-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN9343192 | FL | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | APRN11001964 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2202 STATE AVE STE 207 |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32405-4582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780632380 | Rahman Shah | Internal Medicine | 2202 State Ave Ste 207, Panama City, FL 32405-4582 | 2006-05-05 |
| 1144780024 | Aaron W. Redmond | Nurse Practitioner | 2202 State Ave Ste 207, Panama City, FL 32405-4582 | 2019-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962136 | Kimberlea Fox | Behavioral Analyst | 4750 Collegiate Drive, Technology Building 157, Panama City, FL 32405 | 2020-08-14 |
| 1598325714 | Covenant Home Health Care, LLC | Home Health | 107 W. 19th Street, Panama City, FL 32405 | 2019-06-19 |
| 1467921403 | Amy Hancock | Counselor | 1212 W. 19th St., Panama City, FL 32405 | 2018-11-20 |
| 1063991917 | Patricia Kagendo Mutunga | Day Training, Developmentally Disabled Services | 2813 Fairmont Dr, Panama City, FL 32405 | 2018-08-11 |
| 1871087882 | Southeastern Dermatology Group Pa | Pharmacy | 2505 Harrison Ave Ste A, Panama City, FL 32405 | 2018-06-22 |
| 1346733615 | Jessica Nicole Graham | Nurse Practitioner | 2507 Harrison Ave Unit 101, Panama City, FL 32405 | 2018-06-12 |
| 1437658424 | Coastal Mobility Transportation, LLC | Non-emergency Medical Transport (VAN) | 203 Forest Park Circle, Panama City, FL 32405 | 2018-02-06 |
| 1003314915 | The Anti-aging Clinic of Northwest Florida | Obstetrics & Gynecology | 3019 Osprey Cir, Panama City, FL 32405 | 2018-01-25 |
| 1255848487 | Sarah Theriot | Social Worker | 700 W 23rd St Bldg H, Panama City, FL 32405 | 2018-01-09 |
| 1336686054 | Angela Leake | Registered Nurse | 449 W 23 St, Panama City, FL 32405 | 2017-01-20 |
| Find all providers in zip 32405 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831709245 | Karen R Tayes | Nurse Practitioner | 5700 Star Ln, Panama City, FL 32404-2050 | 2020-08-01 |
| 1023636008 | Samantha Pabalan | Nurse Practitioner | 276 Orinda St, Panama City, FL 32404-6251 | 2020-07-07 |
| 1346868346 | Britni Darsey | Nurse Practitioner | 1205 Bluestem St, Panama City, FL 32405-2780 | 2020-07-07 |
| 1336625441 | Sumalee Zaborek Ryan | Nurse Practitioner | 2110 W 23rd St Ste A, Panama City, FL 32405-2370 | 2018-07-12 |
| 1619470143 | Mary Kathryn Steed | Nurse Practitioner | 1838 Frankford Ave, Panama City, FL 32405-2639 | 2018-03-12 |
| 1922534171 | Wolford Family Practice Inc | Nurse Practitioner | 1027 E Business Hwy 98, Panama City, FL 32401 | 2017-05-10 |
| 1427422369 | Kathy Purdessy | Nurse Practitioner | 801 E 6th St Ste 604, Panama City, FL 32401 | 2015-11-16 |
| 1841629417 | Jason M Martin | Nurse Practitioner | 2110 W 23rd St Ste C, Panama City, FL 32405-2370 | 2013-11-05 |
| 1760761589 | Anna Moreno Cisneros | Nurse Practitioner | 1104 Hwy 2297, Lot A, Panama City, FL 32404-2930 | 2011-08-10 |
| 1679870521 | Melanie Marie Causey | Nurse Practitioner | 7809 Highway 2311, Panama City, FL 32404-4241 | 2011-02-11 |
| Find all providers in PANAMA CITY | ||||
| City | PANAMA CITY |
| Zip Code | 32405 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.