Kimberly Johnson, TSHH

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

1425 Pennsylvania Ave
8E
Brooklyn, NY 11239-2108

Phone

(917) 415-4473

Fax

(718) 942-0810

NPI assigned

Jun 6, 2012

Last updated

Dec 10, 2013By the provider in NPPES

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

Other names 1

• Mrs. Kimberly Watkins Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Achieve Beyond Expectations

  • Specialist
  • Brooklyn, NY
  • NPI 1477974970
  NPD (past) Authorized official

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386633600000",
    "number": "1407117310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 PENNSYLVANIA AVE",
            "address_2": "8E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112392108",
            "telephone_number": "917-415-4473",
            "fax_number": "718-942-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 PENNSYLVANIA AVE",
            "address_2": "8E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112392108",
            "telephone_number": "917-415-4473",
            "fax_number": "718-942-0810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KIMBERLY",
        "name_prefix": "Ms.",
        "credential": "TSHH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-06",
        "last_updated": "2013-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "WATKINS",
            "prefix": "MRS.",
            "credential": "TSHH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kevin Koehler Johnson, PT
• Kianni Johnson, LMHC
• Kim-Marie Johnson, SPECIAL EDU MS
• Kima Lititia Johnson, M.S.CCC-SLP
• Kimberly Johnson, NP
• Kimberly Johnson
• Kinu Johnson
• Kristen Johnson, DDS
• Krystle Johnson, M.D.
• Lindsey Johnson

• Specialist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; 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.