Individual provider Active NPI

Jessica Leigh Johnson, M.S., CCC, SLP

  • Speech-Language Pathologist
  • Norman, OK
National Provider Identifier
1194314831
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3885 Issued in OK
Practice address
724 24TH Ave NW Ste 100
Norman, OK 73069-6214
Phone
(405) 447-1571
Fax
(405) 447-1579
NPI assigned
Jan 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 3885 OK Primary

Addresses

Primary practice location

724 24TH Ave NW Ste 100
Norman, OK 73069-6214

Mailing address

PO Box 1330
Norman, OK 73070-1330
Phone (405) 307-3026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241217002550 OK Practitioner - Qualified Speech Language Pathologist 7416484373 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empowerme Rehabilitation Oklahoma LLCGroup PAC ID 5496088296, 18 clinicians

Practice addresses (Care Compare)

7345 S 99TH E Ave
Tulsa, OK 74133-1001
Phone (539) 207-5807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Norman Regional Providers Specialty Care Multi-Specialty CurrentSince Dec 1, 2024 Accepting new patients
Empowerme Rehabilitation Oklahoma LLC Multi-Specialty CurrentSince Jul 20, 2025 Accepting new patients
Empowerme Wellness Kansas City, LLC CurrentSince Jul 20, 2025 Accepting new patients
Empowerme Wellness Kansas City, LLC Multi-Specialty CurrentSince Jul 20, 2025 Accepting new patients

Locations

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

724 24th Ave NW
Ste 100
Norman, OK 73069
Phone (405) 447-1571

2000 Ann Branden Blvd
Ste 202
Norman, OK 73071
Phone (405) 253-1850

3300 Healthplex Pkwy
Norman, OK 73072
Phone (405) 329-4102

7345 S 99th East Ave
Tulsa, OK 74133
Phone (254) 226-1461

7345 S 99th East Ave
#H
Tulsa, OK 74133
Phone (539) 207-5807

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1610841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1194314831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1330",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730701330",
            "telephone_number": "405-307-3026",
            "fax_number": "405-515-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 24TH AVE NW STE 100",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696214",
            "telephone_number": "405-447-1571",
            "fax_number": "405-447-1579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JESSICA",
        "middle_name": "LEIGH",
        "credential": "M.S., CCC, SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-17",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "3885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.