Kate Johnson, MS CF SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

20119026457 Issued in MO

Practice address

567 N and South Rd Apt C
Saint Louis, MO 63130-3939

Phone

(314) 380-3088

NPI assigned

Dec 11, 2019

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

Electronic endpoints 1

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": "1576022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1366080244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 N AND SOUTH RD APT C",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631303939",
            "telephone_number": "314-380-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 N AND SOUTH RD APT C",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631303939",
            "telephone_number": "314-380-3088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KATE",
        "credential": "MS CF SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-11",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "20119026457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.bluestarstherapy.com/contact-us",
            "affiliation": "N",
            "endpointDescription": "secure contact form",
            "address_1": "567 N and South Rd Apt C",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631303939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jodi Brooke Johnson, DMD
• Jordan Johnson
• Joyce D Johnson, M.D.
• Judith Ann Johnson, RPH
• Justin Johnson
• Kathryn Marie Johnson, AUD
• Kelley Erin Johnson, PNP
• Kelly E. Johnson, M.D.
• Kenesha Johnson
• Kennidi Johnson

• Speech-Language Pathologist in Saint Louis, MO
• Providers in Saint Louis, 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 Dec 11, 2019; 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.