Individual provider Active NPI

Dana Douglas Johnson, CCC-SLP

  • Speech-Language Pathologist
  • Sugar Land, TX
National Provider Identifier
1013211457
Registry record updated Dec 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
102092 Issued in TX
Practice address
14090 Southwest Fwy
Suite 300
Sugar Land, TX 77478-3677
Phone
(281) 746-3053
NPI assigned
Dec 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 102092 TX Primary

Addresses

Primary practice location

14090 Southwest Fwy
Suite 300
Sugar Land, TX 77478-3677

Mailing address

14090 Southwest Fwy
Suite 300
Sugar Land, TX 77478-3677
Phone (281) 746-3053

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
102092TXMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293494400000",
    "number": "1013211457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14090 SOUTHWEST FWY",
            "address_2": "SUITE 300",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783677",
            "telephone_number": "281-746-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14090 SOUTHWEST FWY",
            "address_2": "SUITE 300",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783677",
            "telephone_number": "281-746-3053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS JOHNSON",
        "first_name": "DANA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-28",
        "last_updated": "2010-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "102092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.