Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457405052 Individual Practitioner Female Practitioner

Kathleen M. Johnson , MS CCC-SLP

Speech-Language Pathologist • Roswell, NM

Professional Overview & Biography Verified Profile Summary

Kathleen Johnson, MS CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Roswell, NM. Practice services are available at 300 N KENTUCKY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

300 N Kentucky Ave

Roswell, NM 882014636

Telephone 5056373525
Fax 5056272544
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Roswell, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 52.0 Yrs
State Avg: 20.3 Yrs
Regional Practice Density
45 Specialists

Practicing in Roswell, 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 1568

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
75847 (NM)

Practice Associates & Co-Workers

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

21 Associated Practitioners
Molly Cooper , MS CCC-SLP

Speech-Language Pathologist

NPI 1013061704

MSCCCSLP

Gwyn Burd , MS CCC-SLP

Speech-Language Pathologist

NPI 1053463349

MSCCCSLP

Lonna Mapes , MS CCC-SLP

Speech-Language Pathologist

NPI 1083751473

MSCCCSLP

Katherine Bishop , MS CCC-SLP

Speech-Language Pathologist

NPI 1083768048

MSCCCSLP

Reuel Tria , PT

Physical Therapist

NPI 1164573119

Physical Therapist

Mike Tattershall , LISW

Social Worker - School

NPI 1265571731

Licensed Independent Social Worker

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 300 N KENTUCKY AVE, ROSWELL, NM 882014636 (Tel: 5056373525)

📍
Updated Business Mailing Address July 09, 2007

Registered at 603 MOORE AVE, ROSWELL, NM 882011033 (Tel: 5056237415)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as KATHLEEN JOHNSON, M.S. CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Speech-Language Pathologist (License #1568 in NM)

🟢
Initial NPI Registration & Enumeration January 22, 2007

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: 1457405052
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 22, 2007
Last Update: July 09, 2007
Sole Proprietor: No

Mailing Address

603 Moore Ave

Roswell, NM 882011033

Phone: 5056237415

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.