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

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

Practice location Address checks out

2490 Paseo Verde Pkwy Ste 155
Henderson, NV 89074-7120
Phone: (702) 515-4009
Show map & directions

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

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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