Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kimberly Ann Johnson

Individual provider Speech-Language Pathologist · NPI 1497303002

Dr. Kimberly Ann Johnson is a Qualified Speech Language Pathologist in Tallahassee, Florida. Qualified in 2003, 23 years ago. Practices with Florida State University, a 12-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
23
Licensed in
FL
In the registry since
2019
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Practice location Address checks out

1609 Medical Dr
Tallahassee, FL 32308-4617
Phone: (850) 431-4612
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SA3714 (FL)

Record details

NPI number1497303002
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 27, 2019
Last updated in NPPESAugust 27, 2019
Mailing address3512 Oak Hill Trl, Tallahassee, FL 32312-3647

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Florida State University — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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