Individual provider Active NPI

Haley Jordan Johnson, AUD

  • Audiologist
  • Little Rock, AR
National Provider Identifier
1356914220
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
200751 Issued in AR
Practice address
500 S University Ave Ste 405
Little Rock, AR 72205-5306
Phone
(501) 664-5511
Fax
(501) 664-5149
NPI assigned
Jul 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 200751 AR
Audiologist 231H00000X 200751 AR Primary

Addresses

Primary practice location

500 S University Ave Ste 405
Little Rock, AR 72205-5306

Mailing address

500 S University Ave Ste 405
Little Rock, AR 72205-5306
Phone (501) 664-5511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210929001526 AR Practitioner - Qualified Audiologist 7517364870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Arkansas College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Little Rock Audiology Clinic, Inc.Group PAC ID 0749547743, 2 clinicians

Practice addresses (Care Compare)

500 S University Ave
Suite 405
Little Rock, AR 72205-5306
Phone (501) 664-5511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Little Rock Audiology Clinic, Inc. Audiologist CurrentSince Aug 2, 2024 Accepting new patients

Locations

500 S University Ave
Ste 405
Little Rock, AR 72205
Phone (501) 664-5511

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": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1356914220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S UNIVERSITY AVE STE 405",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055306",
            "telephone_number": "501-664-5511",
            "fax_number": "501-664-5149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S UNIVERSITY AVE STE 405",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055306",
            "telephone_number": "501-664-5511",
            "fax_number": "501-664-5149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "HALEY",
        "middle_name": "JORDAN",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "AR",
            "license": "200751",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AR",
            "license": "200751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.