Individual provider Active NPI

Kelly Johnson Kampf, MS, MPH, CGC

  • Genetic Counselor (M.S.)
  • Addison, TX
National Provider Identifier
1255783122
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
Practice address
16415 Addison Rd Ste 500
Addison, TX 75001-3237
Phone
(301) 758-8924
NPI assigned
Jul 5, 2016
Last updated
Nov 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Genetic Counselor (M.S.) 170300000X NU Primary

Addresses

Primary practice location

16415 Addison Rd Ste 500
Addison, TX 75001-3237

Mailing address

16415 Addison Rd Ste 500
Addison, TX 75001-3237
Phone (301) 758-8924

Other names 1

  • Kelly Amanda Johnson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1255783122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16415 ADDISON RD STE 500",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013237",
            "telephone_number": "301-758-8924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16415 ADDISON RD STE 500",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013237",
            "telephone_number": "301-758-8924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMPF",
        "first_name": "KELLY",
        "middle_name": "JOHNSON",
        "credential": "MS, MPH, CGC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-05",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "JOHNSON",
            "middle_name": "AMANDA",
            "credential": "MS, MPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Addison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.