Samantha Jo Johnson, BS, SLP-A

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

40554 Issued in TX

Practice address

602 W Semands St
Conroe, TX 77301-1867

Phone

(936) 756-5598

Fax

(936) 249-2244

NPI assigned

Sep 14, 2018

Last updated

Sep 14, 2018By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advocate Pediatric Home Care LLC

  dba Aveanna Healthcare

  • Home Health Agency
  • Conroe, TX
  • NPI 1285937987
  NPD (past)

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

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1407339419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21899 VALLEY RANCH CROSSING DR APT 334",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773657307",
            "telephone_number": "936-615-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 W SEMANDS ST",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773011867",
            "telephone_number": "936-756-5598",
            "fax_number": "936-249-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SAMANTHA",
        "middle_name": "JO",
        "credential": "BS, SLP-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-14",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "40554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Johnson, LPC
• Luke Johnson
• Mark Alan Johnson, MD
• Mary Beth Johnson, M.S.,CCC-SLP
• Michelle Melito Johnson, OTR, CHT
• Sandra Lee Johnson, RD, LD, CDCES
• Sharon Lemon Johnson
• Stanley Willard Johnson, LPC
• Thomas Martin Johnson, D.C.
• Nia Ann Jolivette, OD

• Speech-Language Assistant in Conroe, TX
• Providers in Conroe, TX by specialty
• Speech-Language Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; 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.