MEDICARE: KRISTY SMITH JOHNSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	4818	NC

General Provider Information

NPI Number	:	1144721846
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTY SMITH JOHNSON

Provider Business Mailing Address
First Line	:	11330 VANSTORY DR STE 109
Second Line	:
City	:	HUNTERSVILLE
State	:	NC
Zip	:	28078-8146
Country	:	US
Telephone Number	:	304-444-8735
Fax Number	:	980-422-0240

Provider Business Practice Location Address
First Line	:	11330 VANSTORY DR STE 109
Second Line	:
City	:	HUNTERSVILLE
State	:	NC
Zip	:	28078-8146
Country	:	US
Telephone Number	:	304-444-8735
Fax Number	:	980-422-0240

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2018
Last Update Date	:	09/27/2021

Similar Medicare Providers

1588411383 — ROCKWELL DEVELOPMENT CENTER, INC
Practice Location Address:

11330 VANSTORY DR STE 115
HUNTERSVILLE, NC
28078-8146

Practice Phone: 704-987-2096
Practice Fax: 704-919-5590

1407929151 — ERIN SHUNKESHA JACKSON PHD
Practice Location Address:

11330 VANSTORY DR STE 109F
HUNTERSVILLE, NC
28078-8146

Practice Phone: 980-705-4122
Practice Fax:

1043814205 — ELIZABETH ANN BOYD LCMHC
Practice Location Address:

11330 VANSTORY DR STE 109B
HUNTERSVILLE, NC
28078-8146

Practice Phone: 704-437-2835
Practice Fax:

1659023471 — JULIA NAVIN RD, LDN
Practice Location Address:

11330 VANSTORY DR STE 109K
HUNTERSVILLE, NC
28078-8146

Practice Phone: 704-846-7105
Practice Fax: 704-246-6808

1174260871 — PEACEFUL SHORE THERAPY, PLLC
Practice Location Address:

11330 VANSTORY DR STE 109F
HUNTERSVILLE, NC
28078-8146

Practice Phone: 704-800-5405
Practice Fax: 833-519-1059

1235877598 — ENSPIRIT HEALTHCARE LLC
Practice Location Address:

11330 VANSTORY DR STE 114F
HUNTERSVILLE, NC
28078-8146

Practice Phone: 704-897-2584
Practice Fax:

Directions to “ KRISTY SMITH JOHNSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.