Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649747759 Individual Practitioner Female Practitioner

Kathryn C Johnson , SLP

Speech-Language Pathologist • Tampa, FL

Professional Overview & Biography Verified Profile Summary

Kathryn Johnson, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Tampa, FL. Practice services are available at 4202 E FOWLER AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4202 E Fowler Ave

Tampa, FL 336205457

Telephone 8138218038
Fax 8139744325
Associated Practice Facility / Clinic
🏢 University Of South Florida Facility NPI 1578601654

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Tampa, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.1 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
644 Specialists

Practicing in Tampa, FL (11640 Statewide)

Telehealth Adoption Rate
1.7% 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

CMS Verified: 2024-04-08
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License FL SA20180

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License TN 7020

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

Medicaid State Provider ID
101303700 (FL)
Commercial Insurance / Payer ID Blue Cross Blue Shield
T9NUH (FL)

Secondary Practice Locations

1215 21st Ave S

Nashville, TN 372325457

Phone: 6159365000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Ricardo Rendel , MD

Surgery - Surgical Critical Care

NPI 1003311861

Doctor of Medicine (M.D.)

Dr. Kristin Patrick , MD

Obstetrics & Gynecology

NPI 1003831389

Doctor of Medicine (M.D.)

Dr. Divya Kondapi , MBBS

Internal Medicine - Infectious Disease

NPI 1013361708

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Dr. Marketa Wills , MD

Psychiatry & Neurology - Psychiatry

NPI 1023173051

Doctor of Medicine (M.D.)

Dr. Benjamin Renne , MD

Surgery - Trauma Surgery

NPI 1023437837

Doctor of Medicine (M.D.)

Morgan Zegers

Psychiatry & Neurology - Neurocritical Care

NPI 1023578333

Career & Practice History Timeline

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

14 Historical Events
👤
Provider Name / Credentials Updated April 08, 2024

Recorded as KATHRYN JOHNSON, SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2024

Speech-Language Pathologist (License #7020 in TN)

📍
Updated Practice Location June 28, 2022

Registered at 4202 E FOWLER AVE, TAMPA, FL 336205457 (Tel: 8138218038)

📍
Updated Business Mailing Address June 28, 2022

Registered at PO BOX 917770, ORLANDO, FL 328910001 (Tel: 8138218038)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2022

Speech-Language Pathologist (License #SA20180 in FL)

📍
Updated Business Mailing Address March 18, 2022

Registered at 3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 372152691 (Tel: 3052717343)

📍
Updated Practice Location February 17, 2020

Registered at 1215 21ST AVE S, NASHVILLE, TN 372325457 (Tel: 6159365000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2020

Speech-Language Pathologist (License #7020 in TN)

NPI Profile Active October 26, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location October 26, 2018

Registered at 9425 SW 72ND ST STE 261, MIAMI, FL 331735457 (Tel: 3052717343)

📍
Updated Business Mailing Address October 26, 2018

Registered at 9425 SW 72ND ST STE 261, MIAMI, FL 331735457 (Tel: 3052717343)

👤
Provider Name / Credentials Updated October 26, 2018

Recorded as KATHRYN CALIFF, SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2018

Speech-Language Pathologist (License #SZ8894 in FL)

🟢
Initial NPI Registration & Enumeration October 26, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1649747759
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 26, 2018
Last Update: April 08, 2024
Sole Proprietor: No

Mailing Address

Po Box 917770

Orlando, FL 328910001

Phone: 8138218038

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.