Melony Rene Johnson
Individual provider Active NPI Speech-Language Assistant · Dixon, CA
NPI 1043829609 · NPPES record last updated Apr 14, 2023
Key facts
- NPI
- 1043829609
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Assistant 2355S0801X
- License
- 6215 (CA)
- Practice address
- 255 N Lincoln St Ste a
Dixon, CA 95620-3238 - Phone
- (530) 613-5048
- NPI assigned
- Jul 29, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6215 | CA | MD | Optician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 6215 | CA | Yes |
Addresses
Primary practice location
255 N Lincoln St Ste a
Dixon, CA 95620-3238
Mailing address
255 N Lincoln St Ste a
Dixon, CA 95620-3238
Other providers in Dixon, CA
- Brandon Scott Hendricks
- G Lawrence Holloway
- Tanea Ingram
- Robin Jackson
- Jcabreras, LLC
- Mikaela Kalafate
- Gurcharanjit Kaur
- Solji Kim
- Paul T Koenig
- Kristina L. Wiley, DDS, Inc.
All providers in Dixon, CA · Speech-Language Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.