Kelly Johnson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP20669 Issued in CA

Practice address

1972 Del Paso Rd
Suite 156
Sacramento, CA 95834-7724

Phone

(916) 575-8800

NPI assigned

Sep 26, 2014

Sex

Female

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)

Not enrolled

State licenses

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.

• Cook Speech and Language Inc

  • Speech-Language Pathologist
  • Sacramento, CA
  • NPI 1669778460
  NPD (past)

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

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411689600000",
    "number": "1811399447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7316 ROCHELLE WAY",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956284332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1972 DEL PASO RD",
            "address_2": "SUITE 156",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958347724",
            "telephone_number": "916-575-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-26",
        "last_updated": "2014-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP20669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karami Johnson
• Karen Gillan Johnson, LCSW
• Karina Johnson
• Katie M Johnson, M.S.
• Kayla Lanell Johnson
• Kelsey Anne Johnson
• Kendall Johnson
• Kimbrea Johnson
• Kristie Johnson, MFT
• Krystal Johnson

• Speech-Language Pathologist in Sacramento, CA
• Providers in Sacramento, 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 Sep 26, 2014; 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.