Ciara Johnson, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Nokomis, FL
NPI 1194270793 · NPPES record last updated Mar 21, 2025
Key facts
- NPI
- 1194270793
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 15580 (FL)
- Practice address
- 1308 Vermeer Dr
Nokomis, FL 34275-4464 - Phone
- (941) 993-2067
- NPI assigned
- Aug 24, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15580 | FL | MD | Speech-Language Pathologist |
| SZ7753 | FL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist |
235Z00000X | 15580 | FL | Yes |
| Speech-Language Pathologist | 235Z00000X | SZ7753 | FL |
Addresses
Primary practice location
1308 Vermeer Dr
Nokomis, FL 34275-4464
Mailing address
1308 Vermeer Dr
Nokomis, FL 34275-4464
Phone (941) 993-2067
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 018605300 | Medicaid | FL | |
| SZ7753 | Other | FL | FLORIDA DEPARTMENT OF HEALTH |
| 15580 | Other | FL | FLORIDA DEPARTMENT OF HEALTH |
Other providers in Nokomis, FL
- Interpersonal Paracletic Counseling Services Siesta Key Nature
- John Dempsey Ivey
- Susan C Jannou
- Jennifer Lynn Jaworski
- Christine Lynn Johnson
- Justin Ross Wasserman MD PL
- Dorothy J Kellum
- Pieter Daniel Kemp
- Key Pediatric Therapy LLC
- Keystyle Living, LLC
All providers in Nokomis, FL · Speech-Language Pathologist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.