Active NPI
Kiara Johnson
- Speech-Language Pathologist
- Dearborn, MI
National Provider Identifier
1265905012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7151001784
- Practice address
- 18501 Rotunda Dr
Dearborn, MI 48124-3891 - Phone
- (313) 996-1951
- NPI assigned
- Jan 4, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Speech-Language Pathologist | 235Z00000X | 7151001784 | MI | Primary |
Addresses
Primary practice location
18501 Rotunda Dr
Dearborn, MI 48124-3891
Mailing address
26901 Beaumont Blvd # 3D
Southfield, MI 48033-3849
Phone (947) 522-1952
Other practice location 1
41521 W 11 Mile Rd
Novi, MI 48375-1803
Phone (248) 299-0030
Other names 1
- Kiara Coolin
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kcoolin2769824@direct.beaumont.edu |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7151001784 | MI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704931200000",
"number": "1265905012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26901 BEAUMONT BLVD # 3D",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480333849",
"telephone_number": "947-522-1952",
"fax_number": "947-522-0307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18501 ROTUNDA DR",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481243891",
"telephone_number": "313-996-1951"
}
],
"practiceLocations": [
{
"address_1": "41521 W 11 Mile Rd",
"address_purpose": "LOCATION",
"city": "Novi",
"state": "MI",
"postal_code": "483751803",
"country_code": "US",
"telephone_number": "248-299-0030",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "KIARA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-04",
"last_updated": "2024-01-11",
"certification_date": "2024-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "7151001784",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kcoolin2769824@direct.beaumont.edu",
"affiliation": "N",
"address_1": "18501 Rotunda Dr",
"city": "Dearborn",
"state": "MI",
"country_code": "US",
"postal_code": "481243891",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KIARA",
"last_name": "COOLIN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.