Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407255680 Individual Practitioner Female Practitioner

Kimberly Ann Johnson , CCC, SLP

Speech-Language Pathologist • Eagle River, AK

Professional Overview & Biography Verified Profile Summary

Kimberly Johnson, CCC, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Eagle River, AK. Practice services are available at 9244 BIORKA CIR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9244 Biorka Cir

Eagle River, AK 995778619

Telephone 9072409970

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Eagle River, AK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.0 Yrs
State Avg: 11.9 Yrs
Regional Practice Density
36 Specialists

Practicing in Eagle River, AK (418 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License AK 197

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Asha National Certification
01098951
Commercial Insurance / Payer ID Professional Business License
SLPS 197 (AK)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 14, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location August 14, 2014

Registered at 9244 BIORKA CIR, EAGLE RIVER, AK 995778619 (Tel: 9072409970)

📍
Updated Business Mailing Address August 14, 2014

Registered at 9244 BIORKA CIR, EAGLE RIVER, AK 995778619 (Tel: 9072409970)

👤
Provider Name / Credentials Updated August 14, 2014

Recorded as KIMBERLY JOHNSON, CCC/SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2014

Speech-Language Pathologist (License #197 in AK)

🟢
Initial NPI Registration & Enumeration August 14, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407255680
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2014
Last Update: August 14, 2014
Sole Proprietor: Yes

Mailing Address

9244 Biorka Cir

Eagle River, AK 995778619

Phone: 9072409970

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.