NPIMap

Organization Active NPI

Johnston: Speech-Language Pathology, PLLC

  • Early Intervention Provider Agency
  • Nichols, NY
National Provider Identifier
1013356070
Registry record updated Aug 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
014024 Issued in NY
Legal business name
JOHNSTON: SPEECH-LANGUAGE PATHOLOGY, PLLC
Practice address
3129 E River Rd
Nichols, NY 13812-3224
Phone
(607) 206-6542
NPI assigned
Jun 22, 2013
Last updated
Aug 2, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2013

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

Authorized official

Name
Mrs. Jessica Anne Johnston, MS, CCC-SLPNPI 1295062529
Title
Speech-Language Pathologist
Phone
(607) 206-6542

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 014024 NY Primary

Addresses

Primary practice location

3129 E River Rd
Nichols, NY 13812-3224

Mailing address

3129 E River Rd
Nichols, NY 13812-3224
Phone (607) 206-6542

Other identifiers 1

IdentifierTypeStateIssuer
014024OtherNYSLP LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1371859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375401600000",
    "number": "1013356070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3129 E RIVER RD",
            "city": "NICHOLS",
            "state": "NY",
            "postal_code": "138123224",
            "telephone_number": "607-206-6542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3129 E RIVER RD",
            "city": "NICHOLS",
            "state": "NY",
            "postal_code": "138123224",
            "telephone_number": "607-206-6542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSTON: SPEECH-LANGUAGE PATHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-22",
        "last_updated": "2013-08-02",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "607-206-6542",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "014024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SLP LICENSE",
            "identifier": "014024",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nichols, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; 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.