Individual provider Active NPI

Hannah J Johnson, SLPA

  • Speech-Language Assistant
  • Lake Havasu City, AZ
National Provider Identifier
1316694334
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SLPA13610 Issued in AZ
Practice address
1515 Lake Havasu Ave N Ste 100
Lake Havasu City, AZ 86404-1177
Phone
(928) 854-5439
Fax
(928) 854-5440
NPI assigned
Mar 9, 2022
Last updated
Mar 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SLPA13610 AZ Primary

Addresses

Primary practice location

1515 Lake Havasu Ave N Ste 100
Lake Havasu City, AZ 86404-1177

Mailing address

1515 Lake Havasu Ave N Ste 100
Lake Havasu City, AZ 86404-1177
Phone (928) 854-5439

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address h.johnson@milemarkers.us Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
SLPA13610AZMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1316694334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 LAKE HAVASU AVE N STE 100",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864041177",
            "telephone_number": "928-854-5439",
            "fax_number": "928-854-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 LAKE HAVASU AVE N STE 100",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864041177",
            "telephone_number": "928-854-5439",
            "fax_number": "928-854-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "HANNAH",
        "middle_name": "J",
        "credential": "SLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA13610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "h.johnson@milemarkers.us",
            "affiliation": "N",
            "endpointDescription": "Work Email Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1515 Lake Havasu Ave N Ste 100",
            "city": "Lake Havasu City",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "864041177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Havasu City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.