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Kathryn C Johnson , SLP

Speech-Language Pathologist β€’ Tampa, FL

Active NPI 1649747759 Individual Practitioner Female Practitioner
Practice location in NPPES

4202 E Fowler Ave
Tampa, FL 336205457

Call 8138218038 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4202 E Fowler Ave

Tampa, FL 336205457

Telephone 8138218038
Fax 8139744325
Organization at the Same NPPES Address or Phone
University Of South Florida Facility NPI 1578601654

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Nashville, TN. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Kathryn Johnson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Tampa and Florida

638 active clinicians are listed under Speech-Language Pathologist with a practice address in Tampa, FL (11,513 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Tampa

1.7% of these 638 clinicians have the CMS telehealth indicator.

5% of these 638 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-04-08
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES FL SA20180

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES TN 7020

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
101303700 (FL)
Other Identifier Blue Cross Blue Shield
T9NUH (FL)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - QUALIFIED SPEECH LANGUAGE PATHOLOGIST

Medicare Enrollment ID

I20220602002272

Enrollment State Jurisdiction

FL

PECOS Control ID

9234568924

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

1215 21st Ave S

Nashville, TN 372325457

Phone: 6159365000

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

34 listed
Madison Baker , PA-C

Physician Assistant - Surgical

NPI 1033965918

Physician Assistant (Certified)

Yonatan Breiter , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1033450184

Advanced Practice Registered Nurse

Dr. Ryan Brunetti , MD

Internal Medicine - Cardiovascular Disease

NPI 1063918654

Doctor of Medicine (M.D.)

Shella Cesare , LCSW

Social Worker - Clinical

NPI 1033528021

Licensed Clinical Social Worker

NPI 1518452671

Doctor of Medicine (M.D.)

Dr. Victor Coba , MD

Internal Medicine - Pulmonary Disease

NPI 1477761104

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
πŸ‘€
Provider Name / Credentials Updated April 08, 2024

Recorded as KATHRYN JOHNSON, SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2024

Speech-Language Pathologist (license number reported to NPPES: TN 7020)

πŸ“
Updated Practice Location June 28, 2022

Registered at 4202 E FOWLER AVE, TAMPA, FL 336205457 (Tel: 8138218038)

πŸ“
Updated Business Mailing Address June 28, 2022

Registered at PO BOX 917770, ORLANDO, FL 328910001 (Tel: 8138218038)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2022

Speech-Language Pathologist (license number reported to NPPES: FL SA20180)

πŸ“
Updated Business Mailing Address March 18, 2022

Registered at 3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 372152691 (Tel: 3052717343)

πŸ“
Updated Practice Location February 17, 2020

Registered at 1215 21ST AVE S, NASHVILLE, TN 372325457 (Tel: 6159365000)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2020

Speech-Language Pathologist (license number reported to NPPES: TN 7020)

βœ…
NPI Profile Active October 26, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 26, 2018

Registered at 9425 SW 72ND ST STE 261, MIAMI, FL 331735457 (Tel: 3052717343)

πŸ“
Business Mailing Address (Initial Record) October 26, 2018

Registered at 9425 SW 72ND ST STE 261, MIAMI, FL 331735457 (Tel: 3052717343)

πŸ‘€
Provider Name / Credentials (Initial Record) October 26, 2018

Recorded as KATHRYN CALIFF, SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2018

Speech-Language Pathologist (license number reported to NPPES: FL SZ8894)

🟒
Initial NPI Registration & Enumeration October 26, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1649747759
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 26, 2018
Last Update: April 08, 2024
Sole Proprietor: No

Other Speech-Language Pathologists in Tampa

All Speech-Language Pathologists in Tampa

Mailing Address

Po Box 917770

Orlando, FL 328910001

Phone: 8138218038

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.