MRS. KIMBERLY F JOHNSON (NPI# 1326660424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326660424 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY F JOHNSON |
| Credential | MS, CCC-SLP |
| Practice Address |
14715 Bristow Rd Manassas VA 20112-3945 |
| Mailing Address |
5741 Spriggs Meadow Dr Woodbridge VA 22193-6203 |
| Practice Telephone | 7037917200 |
| Mailing Telephone | 2028708554 |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-05-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619020 | Kimberly Little Johnson | Physical Therapy Assistant | 7913 Red Globe Ct, Severn, MD 21144-1047 | 2020-11-05 |
| 1770198657 | Kimberly Ann Johnson | Technician | 171 Teal Rd, Martinsburg, WV 25405-8946 | 2020-09-09 |
| 1255940698 | Kimberly Renee Johnson | Clinical Exercise Physiologist | 5645 Danvers Rd, Portsmouth, VA 23703-3730 | 2020-07-30 |
| 1932722014 | Kimberly Lashonda Johnson | Counselor | 2018 James Overlook Dr, Chester, VA 23836-2851 | 2020-05-22 |
| 1164051850 | Kimberly L Johnson | Home Health | 14055 46th Street North Suite 1102, Clearwater, FL 33762 | 2020-04-03 |
| 1255965596 | Kimberly Ann Johnson | Occupational Therapy Assistant | 16512 Honeybunch Ln Se, Oldtown, MD 21555-1325 | 2020-02-25 |
| 1043788706 | Kimberly Johnson | Occupational Therapist | 8870 Youree Dr Ste 108, Shreveport, LA 71115-2512 | 2018-11-10 |
| 1750866992 | Kimberly Johnson | Driver | 3030 Marcia Louise Dr, Southaven, MS 38672-6750 | 2018-10-02 |
| 1801399928 | Kimberly Johnson | Chiropractor | 487 N Turnpike Rd, Santa Barbara, CA 93111-1955 | 2018-03-15 |
| 1598280984 | Kimberly Sue Johnson | Nurse Practitioner | 1201 7th St Se Ste 120, Decatur, AL 35601-3337 | 2017-08-07 |
| Street Address |
14715 BRISTOW RD |
| City | MANASSAS |
| State | VA |
| Zip Code | 20112-3945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114267200 | Caroline Louise Dart | Occupational Therapist | 14715 Bristow Rd, Manassas, VA 20112-3945 | 2013-02-26 |
| 1811595754 | Traci Suezanne Morris | Speech-Language Pathologist | 14715 Bristow Rd, Manassas, VA 20112-3945 | 2020-10-13 |
| 1053946772 | Grace Tovar | Occupational Therapist | 14715 Bristow Rd, Manassas, VA 20112-3945 | 2020-03-04 |
| 1083255194 | Julie Ann Roth | Speech-Language Pathologist | 14715 Bristow Rd, Manassas, VA 20112-3945 | 2019-10-01 |
| 1013565092 | Desirea Moore-mitchell | Speech-Language Pathologist | 14715 Bristow Rd, Manassas, VA 20112-3945 | 2019-09-03 |
| 1255988622 | Stephanie Layne Fields | Speech-Language Pathologist | 14715 Bristow Rd, Manassas, VA 20112-3945 | 2019-08-21 |
| 1205481215 | Susan Clair Payne | Speech-Language Pathologist | 14715 Bristow Rd, Manassas, VA 20112-3945 | 2019-08-06 |
| 1932751856 | Kathryn Callaghan | Speech-Language Pathologist | 14715 Bristow Rd, Manassas, VA 20112-3945 | 2019-07-11 |
| 1295387165 | Maggie Godwin | Occupational Therapist | 14715 Bristow Rd, Manassas, VA 20112-3945 | 2019-07-11 |
| 1861981615 | Mary Hansford | Speech-Language Pathologist | 14715 Bristow Rd, Manassas, VA 20112-3945 | 2018-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609361849 | Rasha Jamal Hussein | Dentist | 12701 Galveston Ct, Manassas, VA 20112 | 2018-06-29 |
| 1023510500 | Brooke Newman | Speech-Language Pathologist | 14715 Bristow Road, Manassas, VA 20112 | 2018-03-01 |
| 1174837165 | Carol M Cantello | Occupational Therapist | 12676 Cobblestone Ct, Manassas, VA 20112 | 2010-08-02 |
| 1245429935 | Virginia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 6360 Hoadly Rd, Manassas, VA 20112 | 2007-10-18 |
| 1780765982 | Cheryl Lynn Toulouse | Nurse Practitioner | Endocrine and Diabetes Center, 2200 Opitz Blvd, Suite 250, Woodbridge, VA 20112 | 2006-10-17 |
| 1295224889 | Priscilla Amfo | Nurse Practitioner | 6360 Hoadly Rd, Manassas, VA 20112 | 2018-05-09 |
| 1275998486 | Courtney Harless | Nurse Practitioner | 6360 Hoadly Rd, Manassas, VA 20112 | 2015-12-15 |
| 1205106069 | Andre Delray Route | Home Health Aide | 7600 Georgia Ave, Premier Health Services, Suite 323, Washington, DC 20112 | 2012-01-10 |
| 1548369390 | Mark A Bodwalk | Counselor | 6922 Newman Rd, Clifton, VA 20112-1613 | 2006-09-21 |
| 1831525211 | Jamie Armstrong | Physical Therapy Assistant | 10636 Tattersall Dr, Manassas, VA 20112-2411 | 2013-09-18 |
| Find all providers in zip 20112 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588275481 | Tamar Thompson | Speech-Language Pathologist | 10296 Cleary St Apt 301, Manassas, VA 20110-6719 | 2020-08-13 |
| 1326686221 | Sophie Louise Elliot | Speech-Language Pathologist | 10550 Linden Lake Plaza Suite 100, Manassas, VA 20109 | 2019-12-11 |
| 1962987628 | Nicole Piazza | Speech-Language Pathologist | 8750 Weems Rd, Manassas, VA 20110-4941 | 2018-09-28 |
| 1164911020 | Samantha Lynn Pankau Thomas | Speech-Language Pathologist | 15300 Bowmans Folly Dr, Manassas, VA 20112-5450 | 2018-05-07 |
| 1770080822 | Lissa Martin Comeau | Speech-Language Pathologist | 8700 Centreville Rd # 400, Manassas, VA 20110-8430 | 2018-04-06 |
| 1467956185 | Kristen Cozette Byington Whatley | Speech-Language Pathologist | 10100 Hastings Dr, Manassas, VA 20110-6092 | 2018-03-19 |
| 1467954487 | Amy Lynn Watson | Speech-Language Pathologist | 7405 Hoadly Rd, Manassas, VA 20112-3634 | 2018-03-06 |
| 1588166771 | Janice Marie Mckenzie | Speech-Language Pathologist | 8909 Euclid Ave, Manassas, VA 20111-2404 | 2018-03-02 |
| 1023510500 | Brooke Newman | Speech-Language Pathologist | 14715 Bristow Road, Manassas, VA 20112 | 2018-03-01 |
| 1316448236 | Marisa Lee Freeman | Speech-Language Pathologist | 9553 Birmingham Dr, Manassas, VA 20111-2409 | 2018-02-26 |
| Find all providers in MANASSAS | ||||
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| 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.