Kathleen Johnson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

1 Merrick St
Islip Terrace, NY 11752-1800

Phone

(631) 224-2001

NPI assigned

Jun 1, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1225721590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 ADOBE DR",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119673325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MERRICK ST",
            "city": "ISLIP TERRACE",
            "state": "NY",
            "postal_code": "117521800",
            "telephone_number": "631-224-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KATHLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Jackson, RN
• Tracy James
• Navjot Jammu, RN
• Hyeong Jun Ji, ATC
• John T Gordon D.D.S., P.C.
• Leighann G Katos, LPN
• Heidi Keil, MS, OTR/L
• Samantha Keisari
• Taylor Kenney
• Mackenzie Eileen Kiely

• Speech-Language Pathologist in Islip Terrace, NY
• Providers in Islip Terrace, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.