Shakeitrice Stokes Johnson, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5070 Issued in SC

Practice address

3624 J Dewey Gray Cir
Augusta, GA 30909-6584

Phone

(706) 651-2270

Fax

(706) 651-2271

NPI assigned

Jun 11, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

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  • NPI 1386059251
  Medicare reassignment NPD
• New Mercy Behavioral Health LLC

  • Clinical Social Worker
  • Jackson, MS
  • NPI 1114480753
  NPD

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1255693776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 KNOX RD",
            "city": "HARLEM",
            "state": "GA",
            "postal_code": "308144527",
            "telephone_number": "706-294-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3624 J DEWEY GRAY CIR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096584",
            "telephone_number": "706-651-2270",
            "fax_number": "706-651-2271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 Hudson Trce",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309072010",
            "country_code": "US",
            "telephone_number": "706-823-5250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHAKEITRICE",
        "middle_name": "STOKES",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "5070",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Princessa Johnson, MD
• Ray Edward Johnson, M.D.
• Robert William Johnson, M.D.
• Savannah Johnson
• Scott Bradley Johnson
• Shaneka Johnson
• Shauntae McLamore Johnson, PHYSICIAN ASST CERTI
• Shelly Johnson Jr.
• Stephanie Whitaker Johnson, MHS, OTR/L
• Taneshia Johnson

• Speech-Language Pathologist in Augusta, GA
• Providers in Augusta, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.