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

Kyra Johnson

Individual provider Speech-Language Pathologist · NPI 1598592792

Kyra Johnson is a Qualified Speech Language Pathologist in Henderson, Nevada. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in Nevada.

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

2490 Paseo Verde Pkwy Ste 155
Henderson, NV 89074-7120
Phone: (702) 515-4009
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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 SP-4002 (NV)

Record details

NPI number1598592792
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 19, 2024
Last updated in NPPESSeptember 19, 2024
Certification dateSeptember 19, 2024
Mailing address9265 W Russell Rd # A358, Las Vegas, NV 89148-1359

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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