IndividualActive
Kendallyn Johnson
NPI 1790424760 · Sports Medicine (Internal Medicine) Physician · Norfolk, VA
Provider details
- NPI number
- 1790424760
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- Yes
- License
- 390200000X (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
5115 Hampton Blvd
Norfolk, VA 23529-5000
Phone: (757) 683-3000
Street-level locationGet directions
Mailing address
103 Clearfield Cir Apt a
Colonial Heights, VA 23834-1858
Registry dates
- Enumerated
- 2022-05-29
- Last updated
- 2022-05-29
- Certified
- 2022-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.