Jessica Anne Johnston, MS, CCC-SLP
Individual provider Active NPI Speech-Language Assistant · Nichols, NY
NPI 1295062529 · NPPES record last updated Nov 6, 2009
Key facts
- NPI
- 1295062529
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Assistant 2355S0801X
- License
- SL008036 (NY)
- Practice address
- 3129 E River Rd
Nichols, NY 13812-3224 - Phone
- (607) 206-6542
- NPI assigned
- Nov 6, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL008036 | NY | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SK Therapies | Past | Accepting new patients | |
| Johnston: Speech-Language Pathology, PLLC | Past | Accepting new patients | |
| Sensational Kids Pediatric Services LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | SL008036 | NY | Yes |
Addresses
Primary practice location
3129 E River Rd
Nichols, NY 13812-3224
Mailing address
3129 E River Rd
Nichols, NY 13812-3224
Phone (607) 206-6542
Other providers in Nichols, NY
- Angel Beebe
- Valerie Rose Daly
- Sharon Lynn Hammond
- Johnston: Speech-Language Pathology, PLLC
- Madison Kittle
- Crystal Lynn Milner
- Nichols Joint Fire District
All providers in Nichols, NY · Speech-Language Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.