Rebecca Johnson, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP-405 Issued in WY

Practice address

4305 S Poplar St
Casper, WY 82601-6106

Phone

(307) 995-4819

NPI assigned

May 30, 2019

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

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1093373516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 N WASHINGTON ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012153",
            "telephone_number": "504-812-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 S POPLAR ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826016106",
            "telephone_number": "307-995-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "REBECCA",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-30",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WY",
            "license": "SP-405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marci Lynn Johnson
• Marsha Renee Johnson, FNP BC
• Mistie Darlene Johnson
• Monica Johnson, PHARMD
• Morgan M Johnson, MD, MS
• Richard Leroy Johnson, RPH
• Riley Brenden Johnson, PHARMD
• Roxanna Gene Johnson, CSW
• Sara Rebecca Johnson, COTA-L
• Steven Johnson, R.PH.

• Speech-Language Pathologist in Casper, WY
• Providers in Casper, WY by specialty
• Speech-Language Pathologist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; 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.