Miranda Louise Johnson, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

TSLP10648 Issued in AZ

Practice address

2846 S Spectrum Way
Gilbert, AZ 85295-6176

Phone

(480) 917-0117

NPI assigned

Jul 23, 2017

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1500768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500768000000",
    "number": "1366965204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 N STAPLEY DR UNIT 42",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852033702",
            "telephone_number": "602-577-3227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2846 S SPECTRUM WAY",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852956176",
            "telephone_number": "480-917-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MIRANDA",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-23",
        "last_updated": "2017-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLP10648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Johnson, COTA/L
• Megan Johnson, IBCLC
• Melissa Johnson
• Melissa J Johnson, OTR
• Michael Johnson, M.D.
• Paige Johnson, PT, DPT
• Phillip Ryan Johnson, R.PH.
• Rachel Johnson, PHARMD
• Sarah Elizabeth Johnson, D.M.D.
• Shawmbria Johnson

• Speech-Language Pathologist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2017; 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.