Kim Dixon Johnson, LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP 3401 Issued in MN

Practice address

714 W College St
Duluth, MN 55811-4906

Phone

(218) 728-7164

Fax

(218) 724-0251

NPI assigned

Jan 2, 2007

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992862684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 APPALACHIAN ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558113121",
            "telephone_number": "218-624-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 W COLLEGE ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558114906",
            "telephone_number": "218-728-7164",
            "fax_number": "218-724-0251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KIM",
        "middle_name": "DIXON",
        "name_prefix": "Mr.",
        "credential": "LP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP 3401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Dolores Johnson, RN
• Karen M Johnson
• Karys Olivia Johnson
• Kathryn Ann Johnson, APRN, CNP
• Kelly Underberg Johnson, CNP
• Larry W Johnson, CRNA
• Leslie A Johnson, PHARMACIST
• Lindsay Marie Johnson, FNP-C
• Makenzie Johnson
• Mallery J Johnson, DPT

• Psychologist in Duluth, MN
• Providers in Duluth, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.