KRISTINA JOHNSON (NPI# 1275142242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275142242 |
| Entity Type | Individual |
| Full Name | KRISTINA JOHNSON |
| Credential | PSYD TRAINEE |
| Practice Address |
3075 Adeline St Ste 120 Berkeley CA 94703-2579 |
| Practice Telephone | 5108481112 |
| Mailing Telephone | 5108481112 |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | CA | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992217707 | Kristina Estelle Johnson | Family Medicine | 2662, Lohr Dr, Mount Pleasant, SC 29466 | 2017-11-02 |
| 1033548722 | Kristina Johnson | Behavioral Analyst | 8605 Girard St, Hyattsville, MD 20785-2802 | 2013-11-04 |
| 1528313384 | Kristina Johnson | Physical Therapist | 600 Hartbrook Dr Ste 111, Hartland, WI 53029 | 2012-07-18 |
| 1720354483 | Kristina Johnson | Doula | 207 Whitney Rd, Ashby, MA 01431-2219 | 2012-03-27 |
| 1053554113 | Kristina R Johnson | Physical Medicine & Rehabilitation | 3428 36th Ave S, Minneapolis, MN 55406-2704 | 2009-04-19 |
| 1760553150 | Kristina A Johnson | Physician Assistant | 2700 1st Ave S Ste 100, Fort Dodge, IA 50501-4300 | 2006-11-10 |
| 1396379665 | Kristina Johnson | Student in an Organized Health Care Education/Training Program | 402 E Main St, Waterbury, CT 06702-1701 | 2020-02-26 |
| 1942842000 | Kristina Johnson | Social Worker | 1150 E Sherman Blvd, Muskegon, MI 49444-1871 | 2019-10-10 |
| 1801447826 | Kristina Johnson | Social Worker | 333 Church Street, Wrangell, AK 99929 | 2019-09-20 |
| 1962052514 | Kristina Elane Johnson | Nurse Practitioner | 2608 Mcdonald Rd, Tyler, TX 75701-5934 | 2019-09-16 |
| Street Address |
3075 ADELINE ST STE 120 |
| City | BERKELEY |
| State | CA |
| Zip Code | 94703-2579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609911510 | Tanisha Delores Stewart | Counselor | 3075 Adeline St Ste 120, Berkeley, CA 94703-2579 | 2007-02-20 |
| 1730790072 | Elizabeth J Tsybulsky | Student in an Organized Health Care Education/Training Program | 3075 Adeline St Ste 120, Berkeley, CA 94703-2579 | 2020-08-11 |
| 1962012807 | Jessica Marie Mccarrick | Student in an Organized Health Care Education/Training Program | 3075 Adeline St Ste 120, Berkeley, CA 94703-2579 | 2020-08-05 |
| 1396355236 | Caitlin Ellis | Student in an Organized Health Care Education/Training Program | 3075 Adeline St Ste 120, Berkeley, CA 94703-2579 | 2020-08-05 |
| 1548870496 | Amanda Niels Leighton Wolfe | Student in an Organized Health Care Education/Training Program | 3075 Adeline St Ste 120, Berkeley, CA 94703-2579 | 2020-08-05 |
| 1265042113 | Joseph Hedlind | Student in an Organized Health Care Education/Training Program | 3075 Adeline St Ste 120, Berkeley, CA 94703-2579 | 2020-08-05 |
| 1144839234 | Sredha Mariam Shine | Student in an Organized Health Care Education/Training Program | 3075 Adeline St Ste 120, Berkeley, CA 94703-2579 | 2020-07-24 |
| 1568071637 | Daniel Benjamin Sager | Student in an Organized Health Care Education/Training Program | 3075 Adeline St Ste 120, Berkeley, CA 94703-2579 | 2020-07-24 |
| 1609411537 | Karmit Jacobson | Counselor | 3075 Adeline St Ste 120, Berkeley, CA 94703-2579 | 2019-11-14 |
| 1972151074 | Sophia Kaur Sandhu | Student in an Organized Health Care Education/Training Program | 3075 Adeline St Ste 120, Berkeley, CA 94703-2579 | 2019-08-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811553621 | Brittney Jerrilena Monique Garrett | Behavioral Analyst | 1901 Stuart St, Berkeley, CA 94703 | 2019-05-16 |
| 1740762178 | Maryam Jabbari Amiri | Student in an Organized Health Care Education/Training Program | 3075 Adeline Street, Suite 120, Berkeley, CA 94703 | 2018-09-01 |
| 1619427549 | Sigal Gafni | Occupational Therapist | 1622 Parker St. Apt. 1, Berkeley, CA 94703 | 2016-10-04 |
| 1750741138 | Ane Becker | Community Health Worker | 2026 Woolsey St, Berkeley, CA 94703 | 2016-02-29 |
| 1245697135 | Sara Dinome Teel Vargas | Chiropractor | 3286 Adeline St., Suite 9, Berkeley, CA 94703 | 2016-01-22 |
| 1083081608 | Olivia Debree | Nurse Practitioner | 3075 Adeline Street, Suite 280, Lifelong Medical Care, Ashby Health Center, Berkeley, CA 94703 | 2015-08-31 |
| 1962885988 | Caro Grosvenor | Marriage & Family Therapist | 1511 Ada Street, Berkeley, CA 94703 | 2015-07-08 |
| 1619378452 | Myles Malone | Counselor | 2413 Jefferson Ave., Berkeley, CA 94703 | 2014-09-11 |
| 1013340223 | Denise Daniel | Acupuncturist | 6222 La Salle Ave Suite B, Oakland, CA 94703 | 2013-08-12 |
| 1104126200 | Iramis Kouromenos | Dental Hygienist | 1721 University Ave Apt#209, Berkeley, CA 94703 | 2010-10-25 |
| Find all providers in zip 94703 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851905814 | Adriana Costa | Student in an Organized Health Care Education/Training Program | 1936 Berryman St Apt B, Berkeley, CA 94709-1911 | 2020-09-06 |
| 1548871437 | Naomi Mae Wright | Student in an Organized Health Care Education/Training Program | 2461 Warring St Apt 211, Berkeley, CA 94704-2561 | 2020-08-13 |
| 1588291306 | Jake Loitz | Student in an Organized Health Care Education/Training Program | 1822 Francisco St Apt 22, Berkeley, CA 94703-1352 | 2020-03-23 |
| 1508417452 | Yvette Rico | Student in an Organized Health Care Education/Training Program | 1010 Grayson St Ste 3, Berkeley, CA 94710-2611 | 2019-09-23 |
| 1700443942 | Heather Marie Schrag | Student in an Organized Health Care Education/Training Program | 2712 Telegraph Ave # 94705, Berkeley, CA 94705-1117 | 2019-05-23 |
| 1720644388 | Shafai Marriam Zarabi | Student in an Organized Health Care Education/Training Program | 1940 Parker St, Berkeley, CA 94704-3207 | 2019-05-18 |
| 1780152876 | Isabel Unanue | Student in an Organized Health Care Education/Training Program | 1936 University Ave, Berkeley, CA 94704-1054 | 2018-11-06 |
| 1669957684 | Elizabeth Blieden | Student in an Organized Health Care Education/Training Program | 2712 Telegraph Ave # B, Berkeley, CA 94705-1117 | 2018-09-25 |
| 1740762178 | Maryam Jabbari Amiri | Student in an Organized Health Care Education/Training Program | 3075 Adeline Street, Suite 120, Berkeley, CA 94703 | 2018-09-01 |
| 1972080158 | Cecilia Winfield | Student in an Organized Health Care Education/Training Program | 1918 University Ave., Suite 2b, Berkeley, CA 94704 | 2018-07-20 |
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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.