Active NPI
Julie Johnson
- Speech-Language Pathologist
- Alexandria, VA
National Provider Identifier
1124452016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 08180
- Practice address
- 4732 Rouge CT
Alexandria, VA 22312-1613 - Phone
- (609) 330-1653
- NPI assigned
- Aug 27, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2013030776 | MO | |
| Speech-Language Pathologist | 235Z00000X | 08180 | MD | Primary |
Addresses
Primary practice location
4732 Rouge CT
Alexandria, VA 22312-1613
Mailing address
4732 Rouge CT
Alexandria, VA 22312-1613
Phone (609) 330-1653
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08180 | MD | MD | Speech-Language Pathologist |
| 2013030776 | MO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467676800000",
"number": "1124452016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4732 ROUGE CT",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223121613",
"telephone_number": "609-330-1653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4732 ROUGE CT",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223121613",
"telephone_number": "609-330-1653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JULIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-27",
"last_updated": "2016-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "2013030776",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "08180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.