Kellie Simpson Johnson, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

04564 Issued in MD

Practice address

5106 W Running Brook Rd
Columbia, MD 21044-1522

Phone

(443) 319-5251

Fax

(443) 319-5251

NPI assigned

Nov 18, 2011

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1321574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321574400000",
    "number": "1871860817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5106 W RUNNING BROOK RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210441522",
            "telephone_number": "443-319-5251",
            "fax_number": "443-319-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5106 W RUNNING BROOK RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210441522",
            "telephone_number": "443-319-5251",
            "fax_number": "443-319-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KELLIE",
        "middle_name": "SIMPSON",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-18",
        "last_updated": "2011-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "04564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Johnson
• Karen A Johnson, P.T.
• Karen Leigh Johnson, L.AC.,RN
• Katelyn Rieley Johnson, RN
• Kayla Dannielle Johnson
• Kimberly Johnson, LCPC
• Kimberly A Johnson, REGISTERED NURSE
• La Brea Johnson
• Marion Johnson
• Mechele Antoinette Johnson, 246ZC0007X

• Speech-Language Pathologist in Columbia, MD
• Providers in Columbia, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; 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.