Jennifer S Johnson, M.ED. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202005697 Issued in VA

Practice address

Charlottesville City Schools
1562 Dairy Rd
Charlottesville, VA 22903-2290

Phone

(434) 245-2400

NPI assigned

Feb 16, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

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.

• Charlottesville City Schools

  • Local Education Agency (LEA)
  • Charlottesville, VA
  • NPI 1932125119
  NPD (past)

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

{
    "created_epoch": "1234742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1225277262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1572 STONEY CREEK DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229027238",
            "telephone_number": "302-242-4428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CHARLOTTESVILLE CITY SCHOOLS",
            "address_2": "1562 DAIRY RD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229032290",
            "telephone_number": "434-245-2400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1622 Timberwood Blvd",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229117573",
            "country_code": "US",
            "telephone_number": "434-995-7080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JENNIFER",
        "middle_name": "S",
        "credential": "M.ED. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-16",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202005697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004909976",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Johnson, D.O.
• Dianne E Johnson, FNP
• Emily B Johnson, PA
• Erin Joyce Johnson, LPC, LMFT
• Holly A Johnson, M.D
• Julia Johnson, MD
• Kathryn Rosa Johnson
• Ladarious Johnson
• Leslie A. Johnson, LPC
• Mallory M Johnson, AG-ACNP

• Speech-Language Pathologist in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.