IndividualActive
Kristen Johnston, IDC
NPI 1700469095 · Independent Duty Corpsman · Gulfport, MS
Kristen Johnston, IDC is a Independent Duty Corpsman provider in Gulfport, MS (NPI 1700469095).
Provider details
- NPI number
- 1700469095
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Female
- Sole proprietor
- No
- License
- 1700469095 (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5502 Marvin Shields Blvd
Gulfport, MS 39501
Phone: (228) 822-5922
Approximate (ZIP-level) locationGet directions
Mailing address
159 Brentwood Blvd
Gulfport, MS 39503-4026
Additional practice locations (1)
- 34800 Bob Wilson DrSan Diego, CA 92134-1098Phone: (619) 532-6400
Registry dates
- Enumerated
- 2021-05-04
- Last updated
- 2022-12-02
- Certified
- 2022-11-30
Frequently asked questions
- What is Kristen Johnston's NPI number?
- Kristen Johnston's National Provider Identifier (NPI) is 1700469095, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kristen Johnston's specialty?
- Kristen Johnston is listed in the NPPES registry with a primary specialty of Independent Duty Corpsman (Other Service Providers).
- Where is Kristen Johnston located?
- Kristen Johnston's practice location on file with NPPES is 5502 Marvin Shields Blvd, Gulfport, MS 39501.
- What is Kristen Johnston's phone number?
- The practice phone number listed in the NPPES registry for Kristen Johnston is (228) 822-5922.
- Is Kristen Johnston's NPI active?
- Yes — Kristen Johnston's NPI (1700469095) is active in the NPPES registry as of the last update on 2022-12-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.