Individual provider Active NPI

Kristen Johnson, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Hammond, LA
National Provider Identifier
1023836731
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8764 Issued in LA
Practice address
2106 Rue Simone
Hammond, LA 70403-5728
Phone
(984) 662-5448
Fax
(985) 222-2571
NPI assigned
Oct 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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 8764 LA Primary

Addresses

Primary practice location

2106 Rue Simone
Hammond, LA 70403-5728

Mailing address

2106 Rue Simone
Hammond, LA 70403-5728
Phone (985) 662-5448

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
8764LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Happy Hands Therapy Services, LLC CurrentSince Oct 6, 2024 Accepting new patients

Locations

2106 Rue Simone
Hammond, LA 70403
Phone (985) 662-5448

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1023836731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 RUE SIMONE",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035728",
            "telephone_number": "985-662-5448",
            "fax_number": "985-222-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 RUE SIMONE",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035728",
            "telephone_number": "984-662-5448",
            "fax_number": "985-222-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KRISTEN",
        "name_prefix": "Ms.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-01",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "8764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.