Individual provider Active NPI

Jessica Rose Johns, MS, CCC-SLP

  • Speech-Language Pathologist
  • University Place, WA
National Provider Identifier
1356088769
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL61298020 Issued in WA
Practice address
2601 70TH Ave W Ste E
University Place, WA 98466-5430
Phone
(253) 212-3502
NPI assigned
May 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X LL61298020 WA Primary

Addresses

Primary practice location

2601 70TH Ave W Ste E
University Place, WA 98466-5430

Mailing address

2601 70TH Ave W Ste E
University Place, WA 98466-5430

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jjohns@fluenschildrenstherapy.com

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

LicenseStateTypeSpecialty
LL61298020WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fluens Children'S Therapy, PLLC Speech-Language Pathologist CurrentSince Feb 12, 2023 Accepting new patients

Locations

2601 70th Ave W
Ste E
University Place, WA 98466
Phone (253) 212-3502

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1356088769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 70TH AVE W STE E",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984665430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 70TH AVE W STE E",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984665430",
            "telephone_number": "253-212-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNS",
        "first_name": "JESSICA",
        "middle_name": "ROSE",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL61298020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jjohns@fluenschildrenstherapy.com",
            "affiliation": "N",
            "endpointDescription": "Work email address",
            "address_1": "2601 70th Ave W Ste E",
            "city": "University Place",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984665430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in University Place, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.