Christopher Kyle Johnston, MA CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

3636 N Ridge Rd
Wichita, KS 67205-1213

Phone

(316) 462-3636

NPI assigned

Aug 16, 2022

Last updated

Nov 26, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1730807637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 S RONEY ST",
            "city": "CARL JUNCTION",
            "state": "MO",
            "postal_code": "648349164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 N RIDGE RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051213",
            "telephone_number": "316-462-3636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 S Roney St",
            "address_purpose": "LOCATION",
            "city": "Carl Junction",
            "state": "MO",
            "postal_code": "648349164",
            "country_code": "US",
            "telephone_number": "417-434-4365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "CHRISTOPHER",
        "middle_name": "KYLE",
        "name_prefix": "Mr.",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-16",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zackary Jacob Johnson
• Amanda Kay Johnston, LPN
• Breanna Johnston
• Caitlyn Johnston
• Candice Johnston, NP
• Donna Johnston, LPN
• Hannah Johnston, PA-C
• Mia Johnston
• Sarah C Johnston, M.D.
• Tamara Leaann Johnston, LMSW, LMAC

• Speech-Language Pathologist in Wichita, KS
• Providers in Wichita, KS by specialty
• Speech-Language Pathologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.