Kimberly Sue Johnson-Borgman, MS SLP CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.007599 Issued in IL

Practice address

345 E Superior St
Chicago, IL 60611-2654

Phone

(312) 238-1000

NPI assigned

Dec 2, 2008

Last updated

Dec 2, 2008By 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

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": "1228176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228176000000",
    "number": "1528203791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 N BOSWORTH AVE APT 403",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 E SUPERIOR ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112654",
            "telephone_number": "312-238-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON-BORGMAN",
        "first_name": "KIMBERLY",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "MS SLP CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-02",
        "last_updated": "2008-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.007599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Renee Johnson Belmont, PHD
• Johnson Healthcare Providers LTD
• Johnson Healthcare Services
• Laura Jean Johnson O'Laughlin, M.D.
• Brianna Johnson Williams
• Sherron R Johnson-Boyd, RN
• Kimberly Leona Johnson-Davis, MD
• Latoya Johnson-Foster, LPC
• Andrea Johnson-Grote, O.D.
• Kelly Shavonne Johnson-Means, OTR/L

• Speech-Language Pathologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; 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.