Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1033736350 Individual Practitioner Female Practitioner

Kylie Jean Johnson

Speech-Language Pathologist • Elk River, MN

Professional Overview & Biography Verified Profile Summary

Kylie Johnson is a registered healthcare professional specializing in Speech-Language Pathologist in Elk River, MN. Practice services are available at 11500 193RD AVE NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11500 193rd Ave Nw

Elk River, MN 553301250

Telephone 7632413400

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Elk River, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
7 Specialists

Practicing in Elk River, MN (3097 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

CMS Verified: 2026-05-13
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MN LICC-3345

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.

Practice Associates & Co-Workers

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

5 Associated Practitioners
NPI 1255496634

Licensed Independent Clinical Social Worker

Carla Berger

Speech-Language Pathologist

NPI 1336072024
Dana Roemer , LMFT

Marriage & Family Therapist

NPI 1528242468

Licensed Marriage and Family Therapist

Amanda Milam

Speech-Language Pathologist

NPI 1801729249
Karina Brass , LAT

Specialist/Technologist - Athletic Trainer

NPI 1982981775

Licensed Athletic Trainer

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location May 13, 2026

Registered at 11500 193RD AVE NW, ELK RIVER, MN 553301250 (Tel: 7632413400)

📍
Updated Business Mailing Address May 13, 2026

Registered at 11500 193RD AVE NW, ELK RIVER, MN 553301250 (Tel: 7632413400)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2026

Speech-Language Pathologist (License #LICC-3345 in MN)

NPI Profile Active July 02, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location July 02, 2020

Registered at 108 DOCTORS PARK, SAINT CLOUD, MN 563031207 (Tel: 3207743915)

📍
Updated Business Mailing Address July 02, 2020

Registered at 108 DOCTORS PARK, SAINT CLOUD, MN 563031207 (Tel: 3207743915)

👤
Provider Name / Credentials Updated July 02, 2020

Recorded as KYLIE JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2020

Behavior Technician

🟢
Initial NPI Registration & Enumeration July 02, 2020

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: 1033736350
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 02, 2020
Last Update: May 13, 2026
Sole Proprietor: No

Mailing Address

11500 193rd Ave Nw

Elk River, MN 553301250

Phone: 7632413400

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.