Kirsten Danielle Johnson, M.S., CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2023033527 Issued in MO

Practice address

1155 Jungs Station Rd
Saint Charles, MO 63303-6010

Phone

(636) 851-4200

NPI assigned

Aug 16, 2023

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1194508879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CONCORD TRAIL DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633764247",
            "telephone_number": "636-980-6785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 JUNGS STATION RD",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633036010",
            "telephone_number": "636-851-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KIRSTEN",
        "middle_name": "DANIELLE",
        "credential": "M.S., CF-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2023033527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Johnson, LPC
• Ashley Deone Johnson, PT, DPT
• Desiree Taylor Johnson
• Emily Johnson
• Homer Thomas Johnson II, M.D.
• Mark Samuel Johnson, PA-C MT ASCP
• Matthew Edward Johnson, M.D.
• Melissa Jynelle Johnson, COTA/L
• Michael O Johnson, M.D.
• Tawanta L Johnson, ANP

• Speech-Language Pathologist in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.