Individual provider Active NPI

Kimberly Dawn Johnson, M.D.

  • Neurology Physician
  • Kansas City, MO
National Provider Identifier
1700197829
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
7443 Issued in KS
Practice address
4440 Broadway Blvd
Kansas City, MO 64111-3315
Phone
(813) 531-0930
Fax
(816) 753-2671
NPI assigned
Jun 23, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 7443 KS Primary

Addresses

Primary practice location

4440 Broadway Blvd
Kansas City, MO 64111-3315

Mailing address

4440 Broadway Blvd
Kansas City, MO 64111-3315
Phone (813) 531-0930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Neuropsychiatry
Education
St. Louis College of Physicians and Surgeons, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas City Physician Partners IncGroup PAC ID 7911132139, 17 clinicians

Practice addresses (Care Compare)

4440 Broadway Blvd
Kansas City, MO 64111-3315
Phone (816) 561-9200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7443KSMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas City Physician Partners Inc Neurology CurrentSince Jul 10, 2026 Accepting new patients
Kansas City Physician Partners, Inc. Neurology PastSince Jul 10, 2026 Accepting new patients

Locations

4440 Broadway Blvd
Kansas City, MO 64111
Phone (816) 531-0930

777 NW Blue Pkwy
Ste 3100
Lees Summit, MO 64086
Phone (816) 531-0930

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1700197829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 BROADWAY BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113315",
            "telephone_number": "813-531-0930",
            "fax_number": "816-753-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 BROADWAY BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113315",
            "telephone_number": "813-531-0930",
            "fax_number": "816-753-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KIMBERLY",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-23",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KS",
            "license": "7443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.