Active NPI
Elizabeth Kahrs Johanson
- Speech-Language Pathologist
- Hickory, NC
National Provider Identifier
1194383919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 11222
- Practice address
- 858 2ND St NE Ste 101
Hickory, NC 28601-3878 - Phone
- (828) 322-7826
- NPI assigned
- Jun 5, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 11222 | NC | Primary |
Addresses
Primary practice location
858 2ND St NE Ste 101
Hickory, NC 28601-3878
Mailing address
5879 McClintock Dr
Denver, NC 28037-0198
Phone (704) 975-2051
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Speech Therapy Inc | Speech-Language Pathologist | Current | Accepting new patients |
| Tidal Therapy Solutions LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Eastern Therapy Solutions, PLLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
124 E Park Dr
Beulaville, NC 28518
Phone (888) 258-6905
2761 NC Highway 210 E
Ste G
Hampstead, NC 28443
Phone (775) 481-7908
9020 Senca Dr
Ste 220
Wilmington, NC 28411
Phone (910) 264-9317
Organizations & group practices 3
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.
-
- Speech-Language Pathologist
- Wilmington, NC
- NPI 1750782462
-
- Occupational Therapist
- Wilmington, NC
- NPI 1073143343
Speech-Language Pathologist
-
- Occupational Therapist
- Hampstead, NC
- NPI 1851010698
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559692800000",
"number": "1194383919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5879 MCCLINTOCK DR",
"city": "DENVER",
"state": "NC",
"postal_code": "280370198",
"telephone_number": "704-975-2051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "858 2ND ST NE STE 101",
"city": "HICKORY",
"state": "NC",
"postal_code": "286013878",
"telephone_number": "828-322-7826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHANSON",
"first_name": "ELIZABETH",
"middle_name": "KAHRS",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-05",
"last_updated": "2019-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "11222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.