Active NPI
Sunny Scariano Johnson, M.S.
- Speech-Language Pathologist
- Slidell, LA
National Provider Identifier
1346458338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5367
- Practice address
- 2238 Gause Blvd E
Slidell, LA 70461-4231 - Phone
- (985) 649-9131
- Fax
- (985) 649-9498
- NPI assigned
- May 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 5367 | LA | Primary |
Addresses
Primary practice location
2238 Gause Blvd E
Slidell, LA 70461-4231
Mailing address
2238 Gause Blvd E
Slidell, LA 70461-4231
Phone (985) 649-9131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1623938 | Medicaid | LA |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5367 | LA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299715200000",
"number": "1346458338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2238 GAUSE BLVD E",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704614231",
"telephone_number": "985-649-9131",
"fax_number": "985-649-9498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2238 GAUSE BLVD E",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704614231",
"telephone_number": "985-649-9131",
"fax_number": "985-649-9498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCARIANO JOHNSON",
"first_name": "SUNNY",
"name_prefix": "Mrs.",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2011-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "5367",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1623938",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.