Jennifer Lynn Johnson, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

017338 Issued in NY

Practice address

1000 Elmwood Ave
Suite 400
Rochester, NY 14620-3042

Phone

(585) 271-0680

NPI assigned

Jul 30, 2007

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

Other names 1

• Miss Jennifer Lynn McAvoy Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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.

• Hearing and Speech Center of Rochester Inc.

  • Audiologist
  • Rochester, NY
  • NPI 1548222821

  Speech-Language Pathologist

  NPD (past)
• Rochester Hearing and Speech Center

  • Early Intervention Provider Agency
  • Rochester, NY
  • NPI 1932387131
  NPD (past)

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185753600000",
    "number": "1316137938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 CEDAR TER",
            "city": "HILTON",
            "state": "NY",
            "postal_code": "144681440",
            "telephone_number": "585-354-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ELMWOOD AVE",
            "address_2": "SUITE 400",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146203042",
            "telephone_number": "585-271-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "017338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MCAVOY",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jacklyn A Johnson, MD
• Jara Johnson, DO
• Jennifer Johnson, PHARMD
• Jennifer Elaina Johnson, LPN
• Jennifer Lynn Johnson, PNP
• Jennifer Marie Johnson, MA
• Jhalysa Johnson, FPA-P
• Jillian Virginia Johnson, MD
• Jonathan Johnson, DO
• Joseph A. Johnson, M.D.

• Speech-Language Pathologist in Rochester, NY
• Providers in Rochester, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; 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.