Krista Marie Johnson
Licensed Practical Nurse • Fergus Falls, MN
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, Krista Johnson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Krista Johnson was a registered Licensed Practical Nurse practicing in Fergus Falls, MN. Throughout an active medical career spanning 10 years, Krista Johnson provided care at the practice location at 106 4TH AVENUE NORTH until profile deactivation on 2020-09-30.
Practice Location & Contact Primary Location
106 4th Avenue North
Fergus Falls, MN 565371034
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Fergus Falls, MN
Practicing in Fergus Falls, MN (881 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 164W00000X
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Licensed Practical Nurse
Licensed Practical Nurse
Licensed Practical Nurse
Licensed Practical Nurse
Registered Nurse
Registered Nurse
Registered Nurse
Registered Nurse
Registered Nurse
Registered Nurse
Licensed Practical Nurse
Licensed Practical Nurse
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on September 30, 2020
NPI status registered as active in NPPES database
Registered at 106 4TH AVENUE NORTH, FERGUS FALLS, MN 565371034 (Tel: 2189983778)
Registered at 1207 OAK STREET, BRAINERD, MN 56401 (Tel: 2182326616)
Recorded as KRISTA JOHNSON
Licensed Practical Nurse (License #063134-3 in MN)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
1207 Oak Street
Brainerd, MN 56401
Phone: 2182326616
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