KRISTA LYNN JOHNSON (NPI# 1265094304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265094304 |
| Entity Type | Individual |
| Full Name | KRISTA LYNN JOHNSON |
| Other Name | KRISTA LYNN TARBELL |
| Credential | ARNP |
| Practice Address |
221 E State St Centerville IA 52544-1813 |
| Mailing Address |
302 Ne 14th St Leon IA 50144-1206 |
| Practice Telephone | 6418566471 |
| Practice Fax Number | 6418562603 |
| Mailing Telephone | 6414462383 |
| Mailing Fax Number | 6414462382 |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2019-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
G155096 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 117 S Main St, Albia, IA 525312013 | 6419322065 | 6419322365 |
| 102-104 North Franklin Street, Corydon, IA 500601405 | 6418721750 | 6418721751 |
| 1711 Osceola Ave Ste 115, Chariton, IA 500491516 | 6417748484 | 6417748485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548809528 | Krista Johnson | Nurse Practitioner | 417 N Martin Luther King Dr, Simmesport, LA 71369-2181 | 2019-12-23 |
| 1891333670 | Krista Johnson | Counselor | 155 Northpoint Ave Ste 201, High Point, NC 27262-7723 | 2019-12-12 |
| 1588129134 | Krista Nicole Johnson | Student in an Organized Health Care Education/Training Program | 32701 E 283rd St, Garden City, MO 64747-8346 | 2019-02-07 |
| 1740660059 | Krista Johnson | Dentist | 1650 45th St S, Ste 108, Fargo, ND 58103-3246 | 2015-06-02 |
| 1215160411 | Krista R Johnson | Speech-Language Pathologist | 10908 Old Harrods Woods Cir, Louisville, KY 40223-2458 | 2009-09-03 |
| 1275737637 | Krista Fayre Johnson | Student in an Organized Health Care Education/Training Program | 5783 E Lake Rd, Romulus, NY 14541-5002 | 2007-06-12 |
| 1265516389 | Krista Johnson | Occupational Therapist | 5482 Lakers Lane, Nisswa, MN 56468-0379 | 2006-10-25 |
| 1194364752 | Krista Ann Johnson | Specialist/Technologist | 13616 California St Ste 100, Omaha, NE 68154-5336 | 2019-12-31 |
| 1194287813 | Krista Efe Johnson | Student in an Organized Health Care Education/Training Program | 1005 Dr Db Todd Jr Blvd, Nashville, TN 37208-3501 | 2019-04-02 |
| 1073061768 | Krista Johnson | Nurse Practitioner | 1221 S Broadway, Lexington, KY 40504-2701 | 2016-09-12 |
| Street Address |
221 E STATE ST |
| City | CENTERVILLE |
| State | IA |
| Zip Code | 52544-1813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598748543 | Colleen Elizabeth Stephens | Social Worker | 221 E State St, Centerville, IA 52544-1813 | 2005-11-23 |
| 1033752423 | Chelsey Lynn Joiner | Counselor | 221 E State St, Centerville, IA 52544-1813 | 2019-10-18 |
| 1073091476 | Meredith Frasher | Social Worker | 221 E State St, Centerville, IA 52544-1813 | 2018-07-30 |
| 1649707977 | Brian Worth | Counselor | 221 E State St, Centerville, IA 52544-1813 | 2017-05-17 |
| 1962870196 | Regina M Lassabe | Counselor | 221 E State St, Centerville, IA 52544-1813 | 2015-09-03 |
| 1841544681 | Matthew J Dzak | Counselor | 221 E State St, Centerville, IA 52544-1813 | 2012-11-01 |
| 1457678203 | Danielle Lea O'brien | Counselor | 221 E State St, Centerville, IA 52544-1813 | 2010-05-03 |
| 1639307077 | Michelle Margaret Pettengill | Counselor | 221 E State St, Centerville, IA 52544-1813 | 2009-06-24 |
| 1598975799 | Jeanne Frances Winslow | Counselor | 221 E State St, Centerville, IA 52544-1813 | 2007-05-23 |
| 1639387582 | Roshan Dasari | Psychiatry & Neurology | 221 E State St, Centerville, IA 52544-1813 | 2007-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053651166 | Amy Spencer | Pharmacist | 609 N. 18th Street, Centerville, IA 52544 | 2013-02-26 |
| 1710253497 | Caregivers Home Health, LLC | Home Health | 19999 Saint Josephs Drive, Centerville, IA 52544 | 2012-03-28 |
| 1558529206 | Mercy Medical Center-centerville | Clinic/Center | 19876 St. Joseph's Drive, Centerville, IA 52544 | 2008-05-29 |
| 1205023868 | Mercy Medical Center-centerville | Home Health | 1 St. Joseph's Drive, Centerville, IA 52544 | 2007-09-27 |
| 1043414394 | Appanoose Community Care Services | Home Health | 19890 St. Joseph's Drive, Centerville, IA 52544 | 2007-06-12 |
| 1659591816 | The Continental At St. Joseph's | Assisted Living Facility | 19999 St. Joseph's Drive, Centerville, IA 52544 | 2007-04-27 |
| 1255456315 | Kirk & Gordy Associates, LLC | Clinic/Center | 415 and A Half North Haynes, Centerville, IA 52544 | 2007-03-20 |
| 1114087574 | New Focus Inc | Clinic/Center | 102 W Washington, New Focus Inc, Centerville, IA 52544 | 2006-12-08 |
| 1134169030 | Ron Michael Harshman | Dentist | 501 W Jackson St, Centerville, IA 52544 | 2006-06-08 |
| 1700835865 | State University of Iowa | Family Medicine | 19876 St. Joseph Drive, Centerville, IA 52544 | 2006-05-08 |
| Find all providers in zip 52544 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821703 | Paula S. Gordy Lisw, LLC | Nurse Practitioner | 501 N 12th St Ste 1, Centerville, IA 52544-1439 | 2020-11-02 |
| 1912511288 | Emily Wilcox | Nurse Practitioner | 190 S Main St Ste B, Centerville, UT 84014-2839 | 2020-09-03 |
| 1871126482 | Loretta Pentlicki | Nurse Practitioner | 150 E Swan St, Centerville, TN 37033-1446 | 2020-02-21 |
| 1730733189 | Christine A Wilcox | Nurse Practitioner | 1185 Falmouth Rd, Centerville, MA 02632-3066 | 2019-07-24 |
| 1770953291 | Toni Peters | Nurse Practitioner | 7901 Schatz Pointe Dr, Suite A, Centerville, OH 45459-3856 | 2015-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463292 | Sarah Evie Schuller | Nurse Practitioner | 215 Nw 18th St Ste 102, Ankeny, IA 50023-4282 | 2020-09-26 |
| 1174139950 | Heartland Healthcare Psychiatry, LLC | Nurse Practitioner | 455 N Orthmckenzie Lane, North Liberty, IA 52317-8901 | 2020-09-17 |
| 1356956916 | Jennifer Cherop Cheruiyot | Nurse Practitioner | 215 Nw 18th St, Ankeny Ia 50023, Ankeny, IA 50023 | 2020-09-10 |
| 1083224844 | Amy Leclere | Nurse Practitioner | 404 Stonehaven Ln Ne, Cedar Rapids, IA 52402-1451 | 2020-08-06 |
| 1154940971 | Raven N Niles | Nurse Practitioner | 732 13th Ave, Coralville, IA 52241-1737 | 2020-04-12 |
| 1104459254 | Jered Flinkman | Nurse Practitioner | 420 Mill St Sw, Mitchellville, IA 50169-7702 | 2020-02-18 |
| 1508401571 | Someplace Psychiatric Services, Plc | Nurse Practitioner | 3909 Briarwood Dr, Cedar Falls, IA 50613-7508 | 2019-11-13 |
| 1053963900 | Nicole Dora Mcclavy | Nurse Practitioner | 610 10th St, Perry, Ia 50220, Perry, IA 50220 | 2019-07-11 |
| 1740841188 | Evizzit of Iowa Psychiatry PC | Nurse Practitioner | 1501 42nd St Ste 120, West Des Moines, IA 50266-1005 | 2019-06-26 |
| 1548736085 | Ncc Psychiatric Services Pllc | Nurse Practitioner | 50 Central Ave Se Ste 102, Le Mars, IA 51031-3562 | 2018-10-23 |
| Find all providers with the same taxonomy | ||||
| City | CENTERVILLE |
| Zip Code | 52544 |
Please comment or provide details below to improve the information on KRISTA LYNN JOHNSON.
| 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.