DR. KYLIE LYNN JOHNSON DO
NPI 1548847247
Student in an Organized Health Care Education/Training Program in Overland Park, KS

Active since March 27, 2021PECOS Enrolled
5721 W 119TH ST, OVERLAND PARK, KS 66209(913) 498-6537(913) 498-6708 Get Directions Write a Review

NPPES record last updated: March 27, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Kylie Lynn Johnson Do NPPES

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

DR. KYLIE LYNN JOHNSON DO (NPI 1548847247) is an individual student in an organized health care education/training program in Overland Park, Kansas and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548847247
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. KYLIE LYNN JOHNSONCredential: DO
Location Address5721 W 119TH STOverland Park, KS 66209-3722
Mailing Address12140 Nall Ave Ste 300Overland Park, KS 66209-2503 · (913) 498-6537 · Fax (913) 498-6708
Fax(913) 498-6708
Sole ProprietorNo
Enumeration DateMarch 27, 2021
NPPES CertifiedMarch 27, 2021
NPI 1548847247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

5721 W 119TH ST, Overland Park, KS 66209

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Kylie Lynn Johnson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Anesthesiology
5721 W 119TH ST
OVERLAND PARK, KS 66209
Anesthesiology
5721 W 119TH ST
OVERLAND PARK, KS 66209
Anesthesiology
5721 W 119TH ST
OVERLAND PARK, KS 66209
Anesthesiology
5721 W 119TH ST
OVERLAND PARK, KS 66209
Emergency Medicine
5721 W 119TH ST, EMERGENCY DEPARTMENT
OVERLAND PARK, KS 66209
Anesthesiology
5721 W 119TH ST
OVERLAND PARK, KS 66209
Anesthesiology
5721 W 119TH ST
OVERLAND PARK, KS 66209
Anesthesiology
5721 W 119TH ST
OVERLAND PARK, KS 66209

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548847247, enumerated as an "individual" on March 27, 2021.

The provider is located at 5721 W 119TH ST OVERLAND PARK, KS 66209 and the phone number is (913) 498-6537.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.