Victoria Lee Johnson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP100312 Issued in MA

Practice address

301 Concord Street
Pawtucket, RI 02880

Phone

(800) 679-3609

NPI assigned

Jun 13, 2024

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": "1718236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1316780919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 DEVEREUX ST APT 107",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029095554",
            "telephone_number": "774-991-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 CONCORD STREET",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "02880",
            "telephone_number": "800-679-3609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "524 W Central St",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "MA",
            "postal_code": "020382918",
            "country_code": "US",
            "telephone_number": "888-828-4114",
            "fax_number": "888-424-4114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "VICTORIA",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-13",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "SLP100312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Nathaniel Johnson
• Douglas Johnson, PT
• Fernanda Johnson, PT DPT
• Gail Lynn Johnson, REGISTERED NURSE
• Trisha Johnson
• Cynthia J Jones, LMHC, CRC
• Jaycie Jordan, LMHC-A
• John Robert Jordan, PH.D.
• Hecmy A Jose, MA, PC
• Vinit Joseph Gilvaz, MD

• Speech-Language Pathologist in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• Speech-Language Pathologist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; 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.