Lisa Dawn Johnson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

J525000166612 Issued in WI

Practice address

N3811 Big Field Rd
Black River Falls, WI 54615-5209

Phone

(715) 284-9291

NPI assigned

Apr 23, 2008

Last updated

Apr 23, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1225203102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N3811 BIG FIELD ROAD",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "54615",
            "telephone_number": "715-284-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N3811 BIG FIELD RD",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546155209",
            "telephone_number": "715-284-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LISA",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "J525000166612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Elizabeth Jennings, R.D.
• Kelli Marie Jerdet Engen, RN, BSN
• Heather Jerzak, RD, CD
• Jessen Family Chiropractic Clinic Inc
• Elizabeth Johnson, RN, BSN, LSN
• Mary Jane Jones, RPH
• John M Jordan, DC
• Marie L Jordan, DC
• David B Kellen, M.D.
• Kathleen M Kett, CNM

• Speech-Language Pathologist in Black River Falls, WI
• Providers in Black River Falls, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.

Verify at the official NPI Registry.