Individual provider Active NPI

Kasey Allyssa Johnson, M.S.,CCC-A

  • Audiologist
  • Conway, AR
National Provider Identifier
1285891341
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A#301 Issued in AR
Practice address
855 S German LN Ste 2
Conway, AR 72034-6479
Phone
(501) 205-1215
Fax
(501) 205-1250
NPI assigned
May 16, 2008
Last updated
Nov 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A#301 AR Primary

Addresses

Primary practice location

855 S German LN Ste 2
Conway, AR 72034-6479

Mailing address

855 S German LN
Conway, AR 72034-6334
Phone (501) 205-1215

Other practice location 1

8000 Highway 107 Ste 1
Sherwood, AR 72120-5204
Phone (501) 819-0665

Other practice location 2

11219 Financial Centre Pkwy Ste 260
Little Rock, AR 72211-3882
Phone (501) 621-8250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160412000171 AR Practitioner - Qualified Audiologist 3476859034 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Hearing and Audiology Audiologist CurrentSince Oct 1, 2022 Accepting new patients
Central Arkansas Hearing, Inc. Current Accepting new patients

Locations

2515 College Ave
Conway, AR 72034
Phone (501) 205-1215

855 S German Ln
Conway, AR 72034
Phone (501) 205-1215

855 S German Ln
Ste 2
Conway, AR 72034
Phone (501) 205-1215

11219 Financial Centre Pkwy
Ste 260
Little Rock, AR 72211
Phone (501) 621-8250

8000 Highway 107
Ste 1
Sherwood, AR 72120
Phone (501) 205-1215

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1285891341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 S GERMAN LN",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346334",
            "telephone_number": "501-205-1215",
            "fax_number": "501-205-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 S GERMAN LN STE 2",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346479",
            "telephone_number": "501-205-1215",
            "fax_number": "501-205-1250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8000 Highway 107 Ste 1",
            "address_purpose": "LOCATION",
            "city": "Sherwood",
            "state": "AR",
            "postal_code": "721205204",
            "country_code": "US",
            "telephone_number": "501-819-0665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11219 Financial Centre Pkwy Ste 260",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722113882",
            "country_code": "US",
            "telephone_number": "501-621-8250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KASEY",
        "middle_name": "ALLYSSA",
        "credential": "M.S.,CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-16",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AR",
            "license": "A#301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.