Kimberly Kate Johnson, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

575 Lincoln Ave Ste 350
Napa, CA 94558-3631

Phone

(707) 637-4970

NPI assigned

Oct 13, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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

• Moses Lake School District

  • Local Education Agency (LEA)
  • Moses Lake, WA
  • NPI 1386739308
  NPD (past)

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1427508472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 HARDMAN AVE",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945581409",
            "telephone_number": "509-750-6746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 LINCOLN AVE STE 350",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583631",
            "telephone_number": "707-637-4970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1318 W Ivy Ave",
            "address_purpose": "LOCATION",
            "city": "Moses Lake",
            "state": "WA",
            "postal_code": "988372065",
            "country_code": "US",
            "telephone_number": "509-766-2670",
            "fax_number": "509-766-2689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KIMBERLY",
        "middle_name": "KATE",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-13",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danangela Evonne Johnson
• Daniel Joe Johnson
• David Richard Johnson, LCSW
• Isaiah Johnson
• Kenika Johnson
• Laine Johnson
• Rachael Seno Johnson
• Shayla Johnson
• Thomas Charles Johnson, D.M.D.
• Tristin Michael Johnson, NP

• Speech-Language Pathologist in Napa, CA
• Providers in Napa, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.