Provider Demographics
NPI:1265094304
Name:JOHNSON, KRISTA LYNN (ARNP)
Entity type:Individual
Prefix:
First Name:KRISTA
Middle Name:LYNN
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:KRISTA
Other - Middle Name:LYNN
Other - Last Name:TARBELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2460 TOWNCREST DR STE 1
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-6643
Mailing Address - Country:US
Mailing Address - Phone:319-499-5522
Mailing Address - Fax:855-574-0040
Practice Address - Street 1:2460 TOWNCREST DR STE 1
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-6643
Practice Address - Country:US
Practice Address - Phone:319-499-5522
Practice Address - Fax:855-574-0040
Is Sole Proprietor?:No
Enumeration Date:2019-06-28
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAG155096363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health