Kylie Jean Johnson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LICC-3345 Issued in MN

Practice address

11500 193Rd Ave NW
Elk River, MN 55330-1250

Phone

(763) 241-3400

NPI assigned

Jul 2, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1033736350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 193RD AVE NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301250",
            "telephone_number": "763-241-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 193RD AVE NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301250",
            "telephone_number": "763-241-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KYLIE",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-02",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "LICC-3345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire Ann John
• Alaina Lynn Johnson
• Brooke Lauren Johnson, RDN
• Hailey Renae Johnson
• Howard E Johnson, D.C.
• Mackenzie Kaye Johnson
• Sandy Jo Johnson, BSN
• Joining Hands Creative Counseling & Wellness, LLC
• Daniel W Jones, MD
• Rebecca Ann Jungers, PA-C

• Speech-Language Pathologist in Elk River, MN
• Providers in Elk River, MN by specialty
• Speech-Language Pathologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.