Johanna W Imbesi, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

03525 Issued in MD

Practice address

13400 Tamarack Rd
Silver Spring, MD 20904-1467

Phone

(301) 989-5672

NPI assigned

Dec 27, 2010

Reactivated

Jun 19, 2019

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

Enrolled in MD

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Capitol Health Care, LLC

  • Speech-Language Pathologist
  • Ellicott City, MD
  • NPI 1437703972
  Medicare reassignment NPD
• Frankly Communicating, Inc

  • Speech-Language Pathologist
  • Westminster, MD
  • NPI 1164819454
  NPD
• Frankly Communicating, Inc

  • Speech-Language Pathologist
  • Annapolis, MD
  • NPI 1235731464
  NPD

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

{
    "created_epoch": "1293408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605916800000",
    "number": "1386948867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13400 TAMARACK RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041467",
            "telephone_number": "301-989-5672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 TAMARACK RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041467",
            "telephone_number": "301-989-5672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMBESI",
        "first_name": "JOHANNA",
        "middle_name": "W",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-27",
        "last_updated": "2020-11-21",
        "certification_date": "2020-11-21",
        "deactivation_date": "2011-11-03",
        "reactivation_date": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "03525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Franciel J Ikeji, RD, LD
• Ebenezer Ikujeyisi, PT
• Bradley Illescas
• Illumination Therapy
• Imago Center Washington DC
• Giovanni Impeduglia, MD
• Calvin Imperio
• Sameera Naureen Imtiaz
• In Touch Physical Therapy LLC
• Independence Now

• Speech-Language Pathologist in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.