DR. KIMBERLY ANN JOHNSON
NPI 1497303002
Speech-Language Pathologist in Tallahassee, FL

Active since August 27, 2019Accepts Medicare Assignment
1609 MEDICAL DR, TALLAHASSEE, FL 32308(850) 431-4612 Get Directions Write a Review

NPPES record last updated: August 27, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kimberly Ann Johnson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KIMBERLY ANN JOHNSON (NPI 1497303002) is an individual speech-language pathologist provider in Tallahassee, Florida, licensed in Florida (SA3714) and active in the NPI registry since August 2019. She is a graduate of Other (2003).

NPPES Registry Identity

NPI1497303002
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameDR. KIMBERLY ANN JOHNSON
Location Address1609 MEDICAL DRTallahassee, FL 32308-4617
Mailing Address3512 Oak Hill TrlTallahassee, FL 32312-3647 · (850) 264-3993
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateAugust 27, 2019
NPI 1497303002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in FL · SA3714
Definition

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.

1609 MEDICAL DR, Tallahassee, FL 32308

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Kimberly Ann Johnson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244750313
PECOS Enrollment IDI20250219001722

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1609 MEDICAL DR
TALLAHASSEE, FL 32308
Speech-Language Pathologist
1609 MEDICAL DR
TALLAHASSEE, FL 32308
Speech-Language Pathologist
1609 MEDICAL DR
TALLAHASSEE, FL 32308
Occupational Therapy Assistant
1609 MEDICAL DR
TALLAHASSEE, FL 32308
Family Medicine
1609 MEDICAL DR, REHABILITATION CENTER
TALLAHASSEE, FL 32308
Skilled Nursing Facility
1609 MEDICAL DR
TALLAHASSEE, FL 32308
Occupational Therapist
1609 MEDICAL DR
TALLAHASSEE, FL 32308
Dietitian, Registered
1609 MEDICAL DR
TALLAHASSEE, FL 32308

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Johnson's NPI number?

The NPI number for Kimberly Johnson is 1497303002. It was assigned to this individual provider in the NPPES registry on August 27, 2019.

Where is Kimberly Johnson located?

Kimberly Johnson practices at 1609 Medical Dr, Tallahassee, FL 32308. The listed phone number is (850) 431-4612.

What is Kimberly Johnson's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Kimberly Johnson enrolled in Medicare?

Yes. Kimberly Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kimberly Johnson was last updated on August 27, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.