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KIMBERLY ANN JOHNSON CCC/SLP NPI 1407255680


NPI Profile

NPI: 1407255680
Provider Name: KIMBERLY ANN JOHNSON, CCC/SLP
Classification:Speech-Language Pathologist - 235Z00000X
Entity Type: Individual
Address:
9244 BIORKA CIR
EAGLE RIVER, AK
ZIP 99577
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Phone: (907) 240-9970

Kimberly Ann Johnson, CCC/SLP is a speech language pathologist in Eagle River, AK. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. Kimberly Ann Johnson, CCC/SLP NPI is 1407255680. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9244 BIORKA CIR
EAGLE RIVER, AK
ZIP 99577-619
Phone: (907) 240-9970

The enumeration date for this NPI number is 8/14/2014 and was last updated on 8/14/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language Pathologist197ALASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101098951OTHERASHA NATIONAL CERTIFICATION
2SLPS 197OTHERALASKAPROFESSIONAL BUSINESS LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/9/2021

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