Laura D. Johnson, M.ED., CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12116016 Issued in NC

Practice address

600 Deep Forest LN
Clayton, NC 27527-6270

Phone

(919) 550-9110

NPI assigned

Dec 2, 2008

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)

Enrolled

Credentials

Master of Education

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228176000000",
    "number": "1245475425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 DEEP FOREST LN",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275276270",
            "telephone_number": "919-550-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 DEEP FOREST LN",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275276270",
            "telephone_number": "919-550-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LAURA",
        "middle_name": "D.",
        "name_prefix": "Mrs.",
        "credential": "M.ED., CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-02",
        "last_updated": "2008-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "12116016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karina Jobin
• Amanda Bradley Johnson, FNP
• Betty Johnson, CSAC
• Kenneth Lee Johnson, M.D.
• Kyle Johnson
• Lisa Woodall Johnson, LISA JOHNSON
• Paul L Johnson, PHD
• Shelby Lee Johnson, APRN, AGACNP-BC
• Taereka Johnson, MS, ATC, LAT
• Tommie L Johnson, PHARMD

• All providers in Clayton, NC
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.