KRISTINA S ROBERTS (NPI# 1952897357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952897357 |
| Entity Type | Individual |
| Full Name | KRISTINA S ROBERTS |
| Credential | LSPE |
| Practice Address |
109 W Watauga Ave Johnson City TN 37604-5621 |
| Mailing Address |
1167 Spratlin Park Dr Gray TN 37615-6205 |
| Practice Telephone | 4232322600 |
| Practice Fax Number | 4234673644 |
| Mailing Telephone | 4234673600 |
| Mailing Fax Number | 4234673644 |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2018-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 1699 | TN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447897467 | Kristina Cheyenne Roberts | Social Worker | 2520 Saint Rose Pkwy Ste 220, Henderson, NV 89074-7789 | 2019-12-09 |
| 1740305044 | Kristina Roberts | Occupational Therapist | 1310 Aston Ave, Mccomb, MS 39648-2826 | 2007-03-19 |
| 1346783651 | Kristina Marie Roberts | Registered Nurse | 625 Hilby Ave, Seaside, CA 93955-5720 | 2016-11-18 |
| 1750785978 | Kristina Danielle Roberts | General Practice | 75-169 Hualalai Rd, Suite 301, Kailua Kona, HI 96740-1744 | 2014-10-17 |
| 1316271448 | Kristina E. Roberts | Nurse Practitioner | 16560 N Nebraska Ave, Lutz, FL 33549-6172 | 2009-09-22 |
| 1396880613 | Kristina Lynne Roberts | Psychologist | 18031 Us Highway 18, Ste E, Apple Valley, CA 92307-2152 | 2007-02-21 |
| 1922189737 | Kristina Roberts | Audiologist | 5 N Meadows Rd, Slp Associates, PC, Medfield, MA 02052-2317 | 2006-10-18 |
| Street Address |
109 W WATAUGA AVE |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-5621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922068022 | Constance Sue Lackner-mullins | Nurse Practitioner | 109 W Watauga Ave, Johnson City, TN 37604-5621 | 2006-03-24 |
| 1417565201 | Christine A Oaks | Counselor | 109 W Watauga Ave, Johnson City, TN 37604-5621 | 2020-07-17 |
| 1205459245 | Makayla W Shippy | Counselor | 109 W Watauga Ave, Johnson City, TN 37604-5621 | 2020-05-26 |
| 1336774652 | Meagan Elizabeth Smith- Quisenberry | Counselor | 109 W Watauga Ave, Johnson City, TN 37604-5621 | 2020-03-06 |
| 1063071926 | Christy R. Crick | Marriage & Family Therapist | 109 W Watauga Ave, Johnson City, TN 37604-5621 | 2019-06-13 |
| 1528539582 | Aaron Free | Counselor | 109 W Watauga Ave, Johnson City, TN 37604-5668 | 2018-12-16 |
| 1144700337 | Marcus Antonio (tony) Chambers | Licensed Practical Nurse | 109 W Watauga Ave, Johnson City, TN 37604-5668 | 2018-08-16 |
| 1457845869 | Lurelle Louise Maxey | Counselor | 109 W Watauga Ave, Johnson City, TN 37604-5621 | 2018-06-19 |
| 1679079206 | Tyler Daniel Garland | Case Manager/Care Coordinator | 109 W Watauga Ave, Johnson City, TN 37604-5668 | 2018-04-03 |
| 1538665328 | Ashlie Katelyn Depew | Case Manager/Care Coordinator | 109 W Watauga Ave, Johnson City, TN 37604-5668 | 2018-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720261316 | Jill Stinson | Psychologist | 166 Derosier Dr, Johnson City, TN 37614-5200 | 2007-12-06 |
| 1689888141 | Deborah L Sheffey | Psychologist | 128 Keith Ln, Johnson City, TN 37601-5479 | 2007-05-10 |
| 1265500615 | Dr Tedd Stephens Edd | Psychologist | 2112 N Roan St, 6th Fl, Johnson City, TN 37601 | 2006-12-02 |
| 1366522195 | Susan W. Blue | Psychologist | 804 Valley Plz, Johnson City, NY 13790-1009 | 2006-10-16 |
| 1780660431 | Susan Ilene Taub | Psychologist | 1604 E Oakland Ave, Johnson City, TN 37601-2151 | 2005-12-15 |
| 1558987875 | Kelly Moore Schirr | Psychologist | 166 Derosier Dr, Johnson City, TN 37614-5200 | 2020-06-23 |
| 1043728405 | Papillon Behavioral Health, LLC | Psychologist | 2514 1/2 Wesley St Ste 2, Johnson City, TN 37601 | 2018-01-18 |
| 1942651120 | Angela Dawn Tolley | Psychologist | 508 Princeton Rd, Suite 403, Johnson City, TN 37601-2060 | 2016-06-28 |
| 1104277656 | Ipc Pac Healthcare Services of Tennessee PC | Psychologist | 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 | 2016-06-27 |
| 1285043810 | Robert Matthew Tolliver | Psychologist | 325 N. State of Franklin Road, Ground Floor, Johnson City, TN 37604-6062 | 2014-08-07 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
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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.