Active NPI
Christine Lou Johnson, CCC, SLP
- Speech-Language Pathologist
- Altona, IL
National Provider Identifier
1154571073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146.001532
- Practice address
- 1348 Ratley Rd
Altona, IL 61414-9426 - Phone
- (309) 484-4981
- NPI assigned
- Sep 27, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 146.001532 | IL | Primary |
Addresses
Primary practice location
1348 Ratley Rd
Altona, IL 61414-9426
Mailing address
1348 Ratley Rd
Altona, IL 61414-9426
Phone (309) 484-4981
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 |
|---|---|---|---|
| 146.001532 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222473600000",
"number": "1154571073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1348 RATLEY RD",
"city": "ALTONA",
"state": "IL",
"postal_code": "614149426",
"telephone_number": "309-484-4981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1348 RATLEY RD",
"city": "ALTONA",
"state": "IL",
"postal_code": "614149426",
"telephone_number": "309-484-4981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "CHRISTINE",
"middle_name": "LOU",
"credential": "CCC, SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-27",
"last_updated": "2008-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.001532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.