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

Kamryn Johnson

Individual provider Speech-Language Pathologist · NPI 1083463087

Kamryn Johnson is a Qualified Speech Language Pathologist in Tulsa, Oklahoma. Qualified in 2024, 2 years ago. Works from 2 locations. Licensed in Oklahoma.

Years since qualifying
2
Licensed in
OK
In the registry since
2024
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Practice location Address checks out

8125 E 101st St Ste 50
Tulsa, OK 74133-7245
Phone: (918) 392-7600
Fax: (405) 548-4350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11500 N Portland Ave, Oklahoma City, OK 73120-4625 — (405) 548-4300

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 6568 (OK)

Record details

NPI number1083463087
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 14, 2024
Last updated in NPPESJanuary 23, 2026
Certification dateJanuary 23, 2026
Mailing address11500 N Portland Ave, Oklahoma City, OK 73120-4625

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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