Active NPI
Meghan B Johnson
- Speech-Language Pathologist
- Durango, CO
National Provider Identifier
1316181415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 24435529
- Practice address
- San Juan Boces
701 Camino del Rio, Suite 221
Durango, CO 81301 - Phone
- (970) 247-3261
- NPI assigned
- Apr 21, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 8462 | NC | |
| Speech-Language Pathologist | 235Z00000X | 5321 | SC | |
| Speech-Language Pathologist | 235Z00000X | 24435529 | CO | Primary |
Addresses
Primary practice location
San Juan Boces
701 Camino del Rio, Suite 221
Durango, CO 81301
Mailing address
San Juan Boces
701 Camino del Rio Suite 221
Durango, CO 81301
Phone (970) 247-3261
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24435529 | CO | MD | Speech-Language Pathologist |
| 8462 | NC | MD | Speech-Language Pathologist |
| 5321 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatrics Unlimited Inc | Speech-Language Pathologist | Past | Accepting new patients |
| San Juan Board of Cooperative Services | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Local Education Agency (LEA)
- Durango, CO
- NPI 1851974554
-
- Speech-Language Pathologist
- Greenville, SC
- NPI 1417164146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706054400000",
"number": "1316181415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SAN JUAN BOCES",
"address_2": "701 CAMINO DEL RIO SUITE 221",
"city": "DURANGO",
"state": "CO",
"postal_code": "81301",
"telephone_number": "970-247-3261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SAN JUAN BOCES",
"address_2": "701 CAMINO DEL RIO, SUITE 221",
"city": "DURANGO",
"state": "CO",
"postal_code": "81301",
"telephone_number": "970-247-3261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "MEGHAN",
"middle_name": "B",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-21",
"last_updated": "2024-01-24",
"certification_date": "2024-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "8462",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "5321",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CO",
"license": "24435529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durango, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.