Individual provider Active NPI

Stephanie R Johnson, AU.D.

  • Audiologist
  • Scottsdale, AZ
National Provider Identifier
1326332081
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
21803 N Scottsdale Rd Ste 125B
Scottsdale, AZ 85255-7445
Phone
(480) 515-0200
Fax
(480) 515-0207
NPI assigned
May 30, 2011
Last updated
Oct 27, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X NU Primary

Addresses

Primary practice location

21803 N Scottsdale Rd Ste 125B
Scottsdale, AZ 85255-7445

Mailing address

9777 N 91St St
Scottsdale, AZ 85258-5087
Phone (480) 451-0220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

20325 N 51St Ave
Suite 154
Glendale, AZ 85308-4622

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Adobe ENT & Allergy, LLC Audiologist CurrentSince May 2, 2024 Accepting new patients
Cigna Healthcare of Arizona, Inc. Past Accepting new patients
Cigna Health Care of Arizona Inc. Past Accepting new patients

Locations

20325 N 51st Ave
Ste 154
Glendale, AZ 85308
Phone (623) 363-5480

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19670/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sjohnson@adobe-ent.emadirect.md

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1306713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1326332081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9777 N 91ST ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585087",
            "telephone_number": "480-451-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21803 N SCOTTSDALE RD STE 125B",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557445",
            "telephone_number": "480-515-0200",
            "fax_number": "480-515-0207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STEPHANIE",
        "middle_name": "R",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-30",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.