Johanna Lee Gilland, MACCCSLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP1387 Issued in ME

Practice address

79 Cat Mousam Rd
Kennebunk, ME 04043-6924

Phone

(207) 985-3030

NPI assigned

Apr 8, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kennebunk Operations, LLC

  • Skilled Nursing Facility
  • Kennebunk, ME
  • NPI 1508928995
  NPD (past)
• Southern Maine Physical Medicine and Rehabilitation, PLLC

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Portland, ME
  • NPI 1487691879
  NPD (past)

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1053584433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 JENKINS RD",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040729670",
            "telephone_number": "207-571-9527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 CAT MOUSAM RD",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040436924",
            "telephone_number": "207-985-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLAND",
        "first_name": "JOHANNA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "MACCCSLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP1387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyla Ashley Gallup
• Anne Garbowitz
• Pedro P. Gay, D.C.
• Genesis Eldercare Rehabilitation Services LLC
• Roberta Beverly Gerson, D.O.
• Ginger Root Counseling LLC
• Noelle Giroux, PT, DPT
• John P Gmeiner, PHD
• Lisa Gouldsbrough, D.O.
• Joseph Grandonico

• Speech-Language Pathologist in Kennebunk, ME
• Providers in Kennebunk, ME by specialty
• Speech-Language Pathologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.