Rebecca Leigh Johnson, M.S, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202006958 Issued in VA

Practice address

7470 Old Camp Rd
Lanexa, VA 23089-5134

Phone

(757) 784-0264

NPI assigned

Mar 4, 2013

Sex

Female

Sole proprietor

No

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

Credentials

Master of Science

State licenses

Practice roles

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.

• Pathway Therapy Specialists LLC

  • Speech-Language Pathologist
  • Lanexa, VA
  • NPI 1144814450
  NPD Authorized official
• Exceptional Childrens Center, LLC

  • Pediatric Occupational Therapist
  • Alexandria, VA
  • NPI 1558560631

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614384000000",
    "number": "1336480110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7470 OLD CAMP RD",
            "city": "LANEXA",
            "state": "VA",
            "postal_code": "230895134",
            "telephone_number": "757-784-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7470 OLD CAMP RD",
            "city": "LANEXA",
            "state": "VA",
            "postal_code": "230895134",
            "telephone_number": "757-784-0264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7001A Loisdale Rd",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "VA",
            "postal_code": "221501904",
            "country_code": "US",
            "telephone_number": "703-971-0602",
            "fax_number": "703-564-8488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "REBECCA",
        "middle_name": "LEIGH",
        "credential": "M.S, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-04",
        "last_updated": "2021-02-27",
        "certification_date": "2021-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202006958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Jo Barbour
• Joan Elizabeth Benton, NP-C
• Susan Cameron
• Ethos House Calls Practice
• Franciscan Brethren of St. Philip Inc Little Sisters of St. F
• Katherine Cowins Lindsey, PT
• Jennifer Erin Lutterloh
• Pathway Therapy Specialists LLC
• Devonte Short
• Cassandra Margaret Gayle Sibley, PHARMD

• All providers in Lanexa, VA
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2021; 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.