Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114531480 Individual Practitioner Female Practitioner

Kimberly Anne Johnson , MS, CCC-SLP

Speech-Language Pathologist • Bend, OR

Professional Overview & Biography Verified Profile Summary

Kimberly Johnson, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Bend, OR. Practice services are available at 593 NW YORK DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

593 Nw York Dr

Bend, OR 977037264

Telephone 9713460355
Associated Practice Facility / Clinic
🏢 Active Wellness Center Llc Facility NPI 1205779089

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Bend, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.9 Yrs
State Avg: 13.6 Yrs
Regional Practice Density
80 Specialists

Practicing in Bend, OR (2106 Statewide)

Telehealth Adoption Rate
2.5% 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: 2024-09-05
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License OR 18242

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 ID TSLP-4434

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

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

15 Associated Practitioners
Shauna Hay , MS

Speech-Language Pathologist

NPI 1063307361

Master of Science

Alexandria Vidalon , MS, CCC-SLP

Speech-Language Pathologist

NPI 1265188619

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Corinne Jarvis , MS, CCC-SLP

Speech-Language Pathologist

NPI 1306099460

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Aminah Kamawal , MS

Speech-Language Pathologist

NPI 1336922731

Master of Science

Ruth Daley , SLP

Speech-Language Pathologist

NPI 1376415562

Speech-Language Pathologist

NPI 1407558018

Bachelor of Science, Registered Dental Hygienist

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location September 05, 2024

Registered at 593 NW YORK DR, BEND, OR 977037264 (Tel: 9713460355)

📍
Updated Business Mailing Address September 05, 2024

Registered at 593 NW YORK DR, BEND, OR 977037264

👤
Provider Name / Credentials Updated September 05, 2024

Recorded as KIMBERLY JOHNSON, MS, CCC-SLP

NPI Profile Active September 03, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location September 03, 2020

Registered at 101 11TH AVE S STE 155, NAMPA, ID 836513918 (Tel: 2084661077)

📍
Updated Business Mailing Address September 03, 2020

Registered at 101 11TH AVE S STE 155, NAMPA, ID 836513918

👤
Provider Name / Credentials Updated September 03, 2020

Recorded as KIMBERLY JOHNSON, MS, CF-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 03, 2020

Speech-Language Pathologist (License #TSLP-4434 in ID)

🟢
Initial NPI Registration & Enumeration September 03, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1114531480
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 03, 2020
Last Update: September 05, 2024
Sole Proprietor: No

Mailing Address

593 Nw York Dr

Bend, OR 977037264

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.