Kimberly Anne Johnson, MS, CCC-SLP

Kimberly Anne Johnson is a Speech-Language Pathologist provider (Speech-Language Pathologist) practicing in Bend, OR, registered in the NPPES registry with NPI 1114531480 since 2020. Practices at Active Wellness Center LLC (listed at the same practice address in NPPES).

✓ Active NPI ✓ Valid NPI checksum

NPI	1114531480
Entity type	Individual (Type 1)
Name	Kimberly Anne Johnson
Credential	MS, CCC-SLP
Sex	Female
Practice address	593 NW YORK DR, Bend, OR, 97703
Phone	9713460355
Enumeration date	2020-09-03
Last updated in NPPES	2024-09-05

Taxonomy & licenses

Taxonomy code	Specialty	Primary	License	State
235Z00000X	Speech-Language Pathologist	Secondary	TSLP-4434	ID
235Z00000X	Speech-Language Pathologist	Secondary	—	ID
235Z00000X	Speech-Language Pathologist	Primary	18242	OR

Copy-ready billing details

Provider: Kimberly Johnson, MS, CCC-SLP
NPI: 1114531480
Taxonomy: 235Z00000X (Speech-Language Pathologist)
Address: 593 NW YORK DR, Bend, OR, 97703

Other providers at this practice address

NPI	Name	Type	Specialty	Location
1154644599	Mark Dejohn	Individual	Massage Therapist	Bend, OR
1386064764	Sean Stradley	Individual	Professional Counselor	Bend, OR
1467838755	Nicole Gricius	Individual	Mental Health Counselor	Bend, OR
1891443578	Dayna English	Individual	Speech-Language Pathologist	Bend, OR
1205779089	Active Wellness Center LLC	Organization	Massage Therapist	Bend, OR

Verify this record

Cross-check NPI 1114531480 against the authoritative CMS record: view Kimberly Anne Johnson on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What is the NPI number for Kimberly Johnson?

The National Provider Identifier (NPI) for Kimberly Johnson is 1114531480, a Type 1 (individual) record in the CMS NPPES registry.

Where does Kimberly Johnson practice?

The practice location on file with NPPES is in Bend, OR. Providers can have multiple locations; NPPES lists the primary practice address.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-09-05.