Active NPI
Johnisha Sherree Taylor Chapman, SLP
- Speech-Language Pathologist
- Flint, MI
National Provider Identifier
1083958656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7101002896
- Practice address
- 2222 S Linden Rd
Ste B
Flint, MI 48532-5475 - Phone
- (888) 218-4045
- Fax
- (810) 249-4230
- NPI assigned
- Nov 20, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7101002896 | MI | Primary |
Addresses
Primary practice location
2222 S Linden Rd
Ste B
Flint, MI 48532-5475
Mailing address
3495 S Center Rd
Burton, MI 48519-1455
Phone (810) 424-2011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083958656 | Medicaid | MI |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7101002896 | MI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507507200000",
"number": "1083958656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3495 S CENTER RD",
"city": "BURTON",
"state": "MI",
"postal_code": "485191455",
"telephone_number": "810-424-2011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 S LINDEN RD",
"address_2": "STE B",
"city": "FLINT",
"state": "MI",
"postal_code": "485325475",
"telephone_number": "888-218-4045",
"fax_number": "810-249-4230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAPMAN",
"first_name": "JOHNISHA",
"middle_name": "SHERREE TAYLOR",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-20",
"last_updated": "2017-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "7101002896",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1083958656",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.