Individual provider Active NPI

Michelle Anne Johnson, MS, CCC-SLP

  • Speech-Language Pathologist
  • Washington, DC
National Provider Identifier
1417564329
Registry record updated Aug 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
447 Tennessee Ave NE
Washington, DC 20002-5433
Phone
(202) 996-5435
NPI assigned
Sep 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2021

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 Primary

Addresses

Primary practice location

447 Tennessee Ave NE
Washington, DC 20002-5433

Mailing address

5002 Fran PL Apt 302
Alexandria, VA 22312-5084

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL hr@playwelldc.com
Other URL michelle@playwelldc.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

NPI Registry JSON

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629504000000",
    "number": "1417564329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5002 FRAN PL APT 302",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223125084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 TENNESSEE AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200025433",
            "telephone_number": "202-996-5435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MICHELLE",
        "middle_name": "ANNE",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-24",
        "last_updated": "2021-08-21",
        "certification_date": "2021-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "hr@playwelldc.com",
            "affiliation": "N",
            "address_1": "447 Tennessee Ave NE",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200025433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "michelle@playwelldc.com",
            "affiliation": "N",
            "address_1": "447 Tennessee Ave NE",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200025433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2021; 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.