Jennifer L Johnson, MS,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL008752 Issued in PA

Practice address

1721 Pine St
Philadelphia, PA 19103-6701

Phone

(215) 545-3322

Fax

(215) 545-0414

NPI assigned

Jul 21, 2008

Last updated

Jul 21, 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)

Enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Robert T Sataloff, MD and Assoc, LLC

  dba Philadelphia Ear, Nose & Throat Assoc

  • Otolaryngology Physician
  • Philadelphia, PA
  • NPI 1669437018
  NPD (past)

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216598400000",
    "number": "1245495118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 PINE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036701",
            "telephone_number": "215-545-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 PINE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036701",
            "telephone_number": "215-545-3322",
            "fax_number": "215-545-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "MS,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-21",
        "last_updated": "2008-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL008752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacoba Johnson, PHD
• Jacqueline Johnson, MS
• Jacqueline Johnson, CRNA
• Janee Johnson, MSW, LSW
• Jaynay Chanel Johnson
• Jennifer Maria Johnson, MD, PHD
• Jerry C Johnson, MD
• Jessica Johnson, DO
• Jessica Lynn Johnson, PA-C, MS
• Jessie Lynn Johnson, MFT

• Speech-Language Pathologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.