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Deactivated NPI 1578749412 Deactivated / Inactive NPI Female Practitioner

Kris Susan Johnston

Case Manager/Care Coordinator • Cordova, AK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kris Johnston has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 10, 2008
NPI Deactivation Date April 07, 2021
Total Practice Duration ~13 Years of Practice (2008 – 2021)

Professional Overview & Biography Verified Profile Summary

Kris Johnston was a registered Case Manager/Care Coordinator practicing in Cordova, AK. Throughout an active medical career spanning 13 years, Kris Johnston provided care at the practice location at 602 CHASE AVE. until profile deactivation on 2021-04-07.

Practice Location & Contact Primary Location

Practice Address

602 Chase Ave.

Cordova, AK 99574

Telephone 9074248268
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Cordova, AK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
6 Specialists

Practicing in Cordova, AK (1814 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

State License AK CM6143

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Randy Apodaca , PhD, OT, L

Occupational Therapist - Physical Rehabilitation

NPI 1134471774

Doctor of Philosophy (Ph.D.), Occupational Therapist, L

NPI 1578223145

PEERSUPPORTSP

Barbara Jewell , MPA

Case Manager/Care Coordinator

NPI 1578826806

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 07, 2021

Record deactivated on April 07, 2021

NPI Profile Active January 10, 2008

NPI status registered as active in NPPES database

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Updated Practice Location January 10, 2008

Registered at 602 CHASE AVE., CORDOVA, AK 99574 (Tel: 9074248268)

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Updated Business Mailing Address January 10, 2008

Registered at PO BOX 160, CORDOVA, AK 995740160 (Tel: 9074248268)

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Provider Name / Credentials Updated January 10, 2008

Recorded as KRIS JOHNSTON

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2008

Case Manager/Care Coordinator (License #CM6143 in AK)

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Initial NPI Registration & Enumeration January 10, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578749412
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 10, 2008
Last Update: January 10, 2008
Deactivation Date: April 07, 2021

Mailing Address

Po Box 160

Cordova, AK 995740160

Phone: 9074248268

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.