MS. KRYSTAL MICHELE JOHNSON (NPI# 1063536571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063536571 |
| Entity Type | Individual |
| Full Name | MS. KRYSTAL MICHELE JOHNSON |
| Practice Address |
31 Oakland Ave Suite 1b Pontiac MI 48342-2019 |
| Practice Telephone | 2487589813 |
| Practice Fax Number | 2487589815 |
| Mailing Telephone | 2487589813 |
| Mailing Fax Number | 2487589815 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | 5681890001 | MI | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4641944 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265777932 | Krystal Lee Johnson | Social Worker | 7102 Glen Forest Dr, Greenville, SC 29607-6111 | 2012-12-06 |
| 1578837183 | Krystal Victoria Johnson | Registered Nurse | 4016 Carpenter Ave, Apt 5d, Bronx, NY 10466-3674 | 2012-02-28 |
| 1861015349 | Krystal Johnson | Naturopath | 2591 Dallas Pkwy Ste 300, Frisco, TX 75034-8563 | 2020-05-19 |
| 1649737339 | Krystal Johnson | Behavior Technician | 3031 C St, Sacramento, CA 95816-3326 | 2019-02-28 |
| 1659841591 | Krystal Johnson | Physical Therapy Assistant | 1302 Teasley Ln, Denton, TX 76205-7946 | 2018-12-04 |
| 1336642024 | Krystal Johnson | Case Manager/Care Coordinator | 3165 Mckelvey Rd Ste 200, Bridgeton, MO 63044-2550 | 2018-03-09 |
| 1114386018 | Krystal Johnson | Social Worker | 470 Chadbourne Rd, Fairfield, CA 94534-9600 | 2016-02-19 |
| 1245649821 | Krystal Jade Johnson | Occupational Therapist | 301 Wolverine Trl, Suite 201, Smyrna, TN 37167-5656 | 2014-08-07 |
| 1639591191 | Krystal Dominique Johnson | Specialist/Technologist | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2014-01-16 |
| 1407120876 | Krystal Johnson | Counselor | 445 Winn Way, Decatur, GA 30030-1707 | 2012-03-02 |
| Street Address |
31 OAKLAND AVE SUITE 1B |
| City | PONTIAC |
| State | MI |
| Zip Code | 48342-2019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932157443 | Johnsons Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 31 Oakland Ave, Ste 1b, Pontiac, MI 48342-2019 | 2006-05-05 |
| 1477709301 | Raafia Mir | Family Medicine | 31 Oakland Ave, Suite A, Pontiac, MI 48342-2019 | 2008-08-12 |
| 1598951931 | Community Bridges Management, Inc. | General Practice | 31 Oakland Ave, 1st Floor, Suite E, Pontiac, MI 48342-2019 | 2007-09-19 |
| 1720102072 | Johnsons Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 31 Oakland Ave, Suite 1b, Pontiac, MI 48342-2019 | 2007-03-19 |
| 1821002734 | Michigan Services Network Inc | Clinic/Center | 31 Oakland Ave, Suite C, Pontiac, MI 48342-2019 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528589561 | Beloved Home Care LLC. | Home Health | 12 S Mill. St., Apt.314, Pontiac, MI 48342 | 2017-06-29 |
| 1518496942 | Boris Tkach | Student in an Organized Health Care Education/Training Program | 50 N. Perry, Pontiac, MI 48342 | 2017-06-08 |
| 1023547429 | Nicholas James Stepanski | Student in an Organized Health Care Education/Training Program | 50 N. Perry St., Pontiac, MI 48342 | 2017-06-08 |
| 1245769991 | Mecca House Corporation | Assisted Living Facility | 53 West Huron, Pontiac, MI 48342 | 2017-06-07 |
| 1134672868 | Shannon Blaine | Technician, Other | 103 Parkhurst Street, Pontiac, MI 48342 | 2016-07-29 |
| 1669819249 | Bonnie Ann Smith | Occupational Therapist | 60 Parkhurst Dr., Pontiac, MI 48342 | 2013-05-23 |
| 1205123361 | Mary Ellen Kenworthy | Emergency Medicine | 50 North Perry Street, Pontiac, MI 48342 | 2011-07-08 |
| 1740516343 | Nathima Habib Atchoo | Obstetrics & Gynecology | 90 West University, Gary Burnstein Community Health Clinic (free Clinic), Pontiac, MI 48342 | 2009-11-02 |
| 1881824233 | Sylvia Lyn Thompson | Physical Therapist | 900 Auburn Road, Pontiac, MI 48342 | 2009-07-20 |
| 1114154150 | Kyannah Toyann Anderson | Home Health | 175 S.edith St, Pontiac, MI 48342 | 2009-06-17 |
| Find all providers in zip 48342 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861693 | Asset Health, Inc. | Contractor | 2250 Butterfield Dr Ste 100, Troy, MI 48084-3411 | 2020-11-05 |
| 1740888122 | Mosobalaje I Adewole | Contractor | 22448 Hallcroft Trl, Southfield, MI 48034-5498 | 2020-10-16 |
| 1689272833 | Michael Onwuegbuna | Contractor | 4057 Radcliff Dr, Canton, MI 48188-7236 | 2020-10-10 |
| 1366075053 | David Begley | Contractor | 4286 Welch Rd, Attica, MI 48412-9394 | 2020-02-20 |
| 1174155709 | Barbara S Kosten | Contractor | 7622 Collins Rd, Fenwick, MI 48834-9535 | 2020-02-11 |
| 1780229880 | Terri Dallas | Contractor | 59 Seward St Apt 603, Detroit, MI 48202-2431 | 2019-11-12 |
| 1033763347 | Latrese Tucker | Contractor | 9600 Wyoming, Detroit, MI 48204 | 2019-07-25 |
| 1700443033 | Payroll & Accounting Services LLC | Contractor | 20600 Eureka Rd Ste 220, Taylor, MI 48180-6337 | 2019-05-22 |
| 1659934669 | Jeffrey Paul Cates | Contractor | 826 W 11 Mile Rd, Madison Heights, MI 48071-3102 | 2019-04-16 |
| 1073073516 | Simba Mujuru | Contractor | 7115 Orchard Lake Rd Ste 220, West Bloomfield, MI 48322-3655 | 2019-03-21 |
| Find all providers with the same taxonomy | ||||
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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.