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KRISTEN ELIZABETH JOHNSTON IDC
NPI 1700469095
Military Health Care Provider - Independent Duty Corpsman in Gulfport, MS

Active since May 04, 2021
5502 MARVIN SHIELDS BLVD, GULFPORT, MS 39501(228) 822-5922 Get Directions Write a Review

NPPES record last updated: December 2, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 2, 2022, May 4, 2021 (2 updates tracked since 2021).

About Kristen Elizabeth Johnston Idc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTEN ELIZABETH JOHNSTON IDC (NPI 1700469095) is an individual independent duty corpsman provider in Gulfport, Mississippi, licensed in California (1700469095) and active in the NPI registry since May 2021. She maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1700469095
Entity TypeIndividualFemale
Primary Taxonomy1710I1002X
Provider Legal NameKRISTEN ELIZABETH JOHNSTONCredential: IDC
Location Address5502 MARVIN SHIELDS BLVDGulfport, MS 39501
Mailing Address159 Brentwood BlvdGulfport, MS 39503-4026 · (619) 952-5756
Phone(228) 822-5922
Sole ProprietorNo
Enumeration DateMay 4, 2021
Last NPPES UpdateDecember 2, 20222 updates tracked since enumeration
NPPES CertifiedNovember 30, 2022
✔ NPI 1700469095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
License✔ Licensed in CA · 1700469095
Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

5502 MARVIN SHIELDS BLVD, Gulfport, MS 39501
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Secondary Practice Location 1

Location 134800 Bob Wilson DrSan Diego, CA 92134-1098 · Phone (619) 532-6400

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VALARIE ANNE CHAPMON LCSW
Social Worker (Clinical)
5502 MARVIN SHIELDS BLVD
GULFPORT, MS 39501
Harrison County (228) 822-5710
BRANCH MEDICAL CLINIC GULFPORT
Clinic/Center (Military/U.S. Coast Guard Outpatient)
5502 MARVIN SHIELDS BLVD
GULFPORT, MS 39501
Harrison County (850) 505-6157
SHANNON DEIRDRE BRADLEY LCSW
Social Worker (Clinical)
5502 MARVIN SHIELDS BLVD
GULFPORT, MS 39501
Harrison County (228) 822-5710
DANIEL GREER IDC
Military Health Care Provider (Independent Duty Corpsman)
5502 MARVIN SHIELDS BLVD, BLDG 472
GULFPORT, MS 39501
Harrison County (282) 822-5509
PAMELA ANN EDWARDS
Nurse Practitioner
5502 MARVIN SHIELDS BLVD
GULFPORT, MS 39501
Harrison County (228) 871-4033
CARLEY MARIE MAYBERRY RN
Registered Nurse
5502 MARVIN SHIELDS BLVD
GULFPORT, MS 39501
Harrison County (913) 837-0691
DR. WILLIAM SHELTON PEARSON M.D.
Psychiatry & Neurology (Psychiatry)
5502 MARVIN SHIELDS BLVD
GULFPORT, MS 39501
Harrison County (282) 822-5710
DR. STEVEN B SAPIDA D.O.
Family Medicine
5502 MARVIN SHIELDS BLVD
GULFPORT, MS 39501
Harrison County (228) 822-5764

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristen Johnston's NPI number?

The NPI number for Kristen Johnston is 1700469095. It was assigned to this individual provider in the NPPES registry on May 4, 2021.

Where is Kristen Johnston located?

Kristen Johnston practices at 5502 Marvin Shields Blvd, Gulfport, MS 39501. The listed phone number is (228) 822-5922.

What is Kristen Johnston's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Kristen Johnston was last updated on December 2, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.