Kathleen R. Johnson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP0223 Issued in AZ

Practice address

4630 E Frye Rd
Phoenix, AZ 85048-7682

Phone

(480) 541-4000

NPI assigned

Nov 20, 2021

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": "1637366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637366400000",
    "number": "1306503784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8517 E CATALINA DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517327",
            "telephone_number": "480-330-3048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 E FRYE RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487682",
            "telephone_number": "480-541-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KATHLEEN",
        "middle_name": "R.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-20",
        "last_updated": "2021-11-20",
        "certification_date": "2021-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP0223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua C Johnson, LMSW
• Julie Christina Johnson
• Kara Rose Johnson
• Katelyn Johnson
• Katherine Johnson, M.S. OTR/L
• Kayla R Johnson, LCSW
• Kelsey M Johnson
• Kevin R Johnson, DO
• Kim David Johnson, M.D.
• Kimberly Johnson, PHARM.D

• Speech-Language Pathologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.