DR. KELLY GAINES JOHNSON


Address: 2828 W University Blvd, Suite 114, Durant, OK 74701-3090
Phone: 5807455171

DR. KELLY GAINES JOHNSON (NPI# 1326318437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326318437
Entity Type Individual
Full Name DR. KELLY GAINES JOHNSON
Credential AU.D.
Practice Address 2828 W University Blvd
Suite 114
Durant
OK 74701-3090
Mailing Address 2001 N Loy Lake Rd
Suite H
Sherman
TX 75090-2839
Practice Telephone 5807455171
Practice Fax Number 5807455173
Mailing Telephone 9034824018
Mailing Fax Number 9034824024
Enumeration Date 2012-01-05
Last Update Date 2015-07-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 231H00000X Audiologist 80077 TX Speech, Language and Hearing Service Providers
N 237600000X Audiologist-Hearing Aid Fitter 80077 TX Speech, Language and Hearing Service Providers

Other Providers KELLY JOHNSON

NPI Name Taxonomy Address Enumeration
1023631249 Kelly Lynn Johnson Occupational Therapist 22123 Figueroa St Unit 113, Carson, CA 90745-4464 2020-05-21
1851932404 Kelly Christine Johnson Nurse Practitioner 7319 Stonerock Cir # 106, Orlando, FL 32819-8002 2019-10-04
1083274989 Kelly Danielle Johnson Registered Nurse 76 Dubois Ct Apt D, Englewood, NJ 07631-3439 2019-06-13
1871151365 Kelly Johnson Family Medicine 103 S White Oak Rd, White Oak, TX 75693-1517 2019-05-30
1194288753 Kelly Mills Johnson Psychologist 100 Bush St Ste 918, San Francisco, CA 94104-3950 2019-04-10
1700345345 Kelly Marlene Johnson Nurse Practitioner 1320 E Oklahoma Ave, Guthrie, OK 73044-3757 2019-03-13
1891253597 Kelly Marie Johnson Specialist/Technologist 1472 Mobley Ct, Frederick, MD 21701-9113 2019-03-12
1447744347 Kelly Theresa Johnson Speech-Language Pathologist 5272 River Rd Ste 100, Bethesda, MD 20816-1454 2018-06-14
1962902882 Kelly M Johnson Licensed Vocational Nurse 118 Brazos Ln, Kyle, TX 78640-5289 2018-02-16
1427573476 Kelly Colleen Johnson Social Worker 2530 Meridian Parkway, Suite 300, Pbn: 3071, Durham, NC 27713-2771 2017-08-11

Office Location

Street Address 2828 W UNIVERSITY BLVD
SUITE 114
City DURANT
State OK
Zip Code 74701-3090

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790041705 Better Hearing Associates Hearing Instrument Specialist 2828 W University Blvd, Suite 114, Durant, OK 74701-3090 2012-04-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134738362 Elevate Therapy, Pllc Physical Therapist 523 N Wshington Ave, Durant, OK 74701 2020-07-23
1093334906 Duncan Kovash Nurse Practitioner 1901 Chukka Hina, Durant, OK 74701 2020-04-10
1184193690 Inventive Therapy Services, LLC Occupational Therapist 2620 Maxey Dr, Durant, OK 74701 2018-11-14
1790271831 Jazmine Gabrielle Benavidez Specialist/Technologist 1713 North 1st Avenue, Durant, OK 74701 2018-07-02
1538659586 Katelen Sue Morgan Case Manager/Care Coordinator 1011 Donna Sue Pl, Durant, OK 74701 2018-05-15
1164941035 Nsight for Life LLC Community/Behavioral Health 1313 N 16th, Durant, OK 74701 2017-09-12
1023534666 Damon Dye Physical Therapist 30 W 3rd St, Durant, OK 74701 2017-08-15
1437605250 Casey Worsham Nurse Practitioner 1800 W University, Durant, OK 74701 2016-08-31
1083160857 Denise Adanho Case Manager/Care Coordinator 1218 Stonebrook Circle, Durant, OK 74701 2016-08-31
1962850271 Justi Thompson Case Manager/Care Coordinator 4817 Ciara St, Durant, OK 74701 2016-05-26
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Taxonomy Information

Taxonomy Code 231H00000X
Grouping Speech, Language and Hearing Service Providers
Classification Audiologist

Taxonomy Definition

(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1255949590 Blair Kathryn Hosier Audiologist 7614 E 91st St Ste 160, Tulsa, OK 74133-6047 2020-07-22
1164045399 Gabrielle Ballard Audiologist 1200 Childrens Ave Ste 8c, Oklahoma City, OK 73104-4637 2020-05-21
1679195424 Natalie A Dixon Audiologist 825 Ne 10th St # 4c, Oklahoma City, OK 73104-5417 2020-05-15
1932721917 Danielle Knight Audiologist 2405 S Bryant Ave Ste 100, Edmond, OK 73013-6169 2020-05-12
1306342621 Professional Hearing Healthcare PC Audiologist 5022 E 101st St, Tulsa, OK 74137-5803 2018-04-04
1023533262 Farris Ree Stroupe Audiologist 4140 W. Memorial Rd Suite 116, Oklahoma City, OK 73120 2017-08-09
1316469067 Amber Emerson Runge Audiologist 825 Ne 10th St Ste 4c, Oklahoma City, OK 73104-5417 2017-07-14
1942739578 Lauren S Main Audiologist 4564 S Harvard Ave Ste A, Tulsa, OK 74135-2918 2017-06-07
1558801654 Desirae Webb Audiologist 5020 E. 68th Street, Tulsa, OK 74136-3356 2017-03-08
1013381565 Calyn Cheyenne Russ Audiologist 3954 N Kickapoo Ave, Shawnee, OK 74804-1698 2015-11-20
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Competitor

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City DURANT
Zip Code 74701

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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