Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Kylie Jean Johnson

Speech-Language Pathologist β€’ Elk River, MN

Active NPI 1033736350 Individual Practitioner Female Practitioner
Practice location in NPPES

11500 193rd Ave Nw
Elk River, MN 553301250

Call 7632413400 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

11500 193rd Ave Nw

Elk River, MN 553301250

Telephone 7632413400

NPI first issued

2020

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

Compared with the same specialty in Elk River and Minnesota

7 active clinicians are listed under Speech-Language Pathologist with a practice address in Elk River, MN (3,083 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

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: 2026-05-13
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES MN LICC-3345

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: Minnesota Board of Medical Practice.
Look Up on State Board Site

Career & Practice History Timeline

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

9 Historical Events
πŸ“
Updated Practice Location May 13, 2026

Registered at 11500 193RD AVE NW, ELK RIVER, MN 553301250 (Tel: 7632413400)

πŸ“
Updated Business Mailing Address May 13, 2026

Registered at 11500 193RD AVE NW, ELK RIVER, MN 553301250 (Tel: 7632413400)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2026

Speech-Language Pathologist (license number reported to NPPES: MN LICC-3345)

βœ…
NPI Profile Active July 02, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 02, 2020

Registered at 108 DOCTORS PARK, SAINT CLOUD, MN 563031207 (Tel: 3207743915)

πŸ“
Business Mailing Address (Initial Record) July 02, 2020

Registered at 108 DOCTORS PARK, SAINT CLOUD, MN 563031207 (Tel: 3207743915)

πŸ‘€
Provider Name / Credentials (Initial Record) July 02, 2020

Recorded as KYLIE JOHNSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2020

Behavior Technician

🟒
Initial NPI Registration & Enumeration July 02, 2020

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1033736350
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 02, 2020
Last Update: May 13, 2026
Sole Proprietor: No

Mailing Address

11500 193rd Ave Nw

Elk River, MN 553301250

Phone: 7632413400

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.