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Active NPI 1316129836 Individual Practitioner Female Practitioner

Johnna L. Kimble , MS, CCC-SLP

Speech-Language Pathologist • Clayton, NM

Professional Overview & Biography Verified Profile Summary

Johnna Kimble, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Clayton, NM. Practice services are available at 323 S 5TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

323 S 5th St

Clayton, NM 884152641

Telephone 5053749313
Fax 5053748844
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Clayton, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.3 Yrs
Regional Practice Density
2 Specialists

Practicing in Clayton, NM (2057 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 NM 4186

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
64075362 (NM)

Practice Associates & Co-Workers

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

4 Associated Practitioners
Jayme Trujillo , RN

Registered Nurse - School

NPI 1174038103

Registered Nurse

Hannah Wells , LCSW

Social Worker - Clinical

NPI 1215283189

Licensed Clinical Social Worker

Amaris Keeth , RN

Registered Nurse - School

NPI 1730898891

Registered Nurse

Leslie Crist , BIS

Occupational Therapy Assistant

NPI 1790496842

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 27, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location November 27, 2007

Registered at 323 S 5TH ST, CLAYTON, NM 884152641 (Tel: 5053749313)

📍
Updated Business Mailing Address November 27, 2007

Registered at 101 N 2ND ST, RATON, NM 877403803 (Tel: 5054457090)

👤
Provider Name / Credentials Updated November 27, 2007

Recorded as JOHNNA KIMBLE, M.S., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 27, 2007

Speech-Language Pathologist (License #4186 in NM)

🟢
Initial NPI Registration & Enumeration November 27, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1316129836
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 27, 2007
Last Update: November 27, 2007
Sole Proprietor: Yes

Mailing Address

101 N 2nd St

Raton, NM 877403803

Phone: 5054457090

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.