Amy Christine Johnson, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

10399 Issued in CA

Practice address

3436 N Verdugo Rd Ste 101
Glendale, CA 91208-1546

Phone

(818) 330-7272

Fax

(818) 330-7262

NPI assigned

Aug 28, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1316722341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3436 N VERDUGO RD STE 101",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081546",
            "telephone_number": "818-330-7272",
            "fax_number": "818-330-7262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3436 N VERDUGO RD STE 101",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081546",
            "telephone_number": "818-330-7272",
            "fax_number": "818-330-7262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AMY",
        "middle_name": "CHRISTINE",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "10399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John J. Mileke, OD, Inc.
• John P McKenzie III M D Inc
• John R. Debanto, MD, Inc.
• John V. Agapian, M.D.
• Akimi Jaclyn Johnson
• Kobe Jamir Johnson, BSN, RN
• Lauralie Johnson, ACNP
• Miles Johnson
• N. Ragner Johnson, M.D.
• Keto Jolia IV

• Speech-Language Pathologist in Glendale, CA
• Providers in Glendale, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.