Organization Active NPI

Christina Johnston, Ma, CCC-SLP

  • Speech-Language Pathologist
  • Springfield, IL
National Provider Identifier
1437455292
Registry record updated Jan 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146008382 Issued in IL
Legal business name
CHRISTINA JOHNSTON, MA, CCC-SLP
Practice address
4505 Blackwolf Rd
Springfield, IL 62711-7872
Phone
(217) 299-1713
Fax
(217) 670-0305
NPI assigned
Jan 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2011

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

Authorized official

Name
Mrs. Christina A Johnston, MA, CCC-SLP
Title
Speech-Language Pathologist/Owner
Phone
(217) 299-1713

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 146008382 IL Primary

Addresses

Primary practice location

4505 Blackwolf Rd
Springfield, IL 62711-7872

Mailing address

PO Box 314
Chatham, IL 62629-0314
Phone (217) 299-1713

Other names 1

  • Time 2 Talk Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296086400000",
    "number": "1437455292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 314",
            "city": "CHATHAM",
            "state": "IL",
            "postal_code": "626290314",
            "telephone_number": "217-299-1713",
            "fax_number": "217-670-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 BLACKWOLF RD",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627117872",
            "telephone_number": "217-299-1713",
            "fax_number": "217-670-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINA JOHNSTON, MA, CCC-SLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-26",
        "last_updated": "2011-01-27",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "217-299-1713",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146008382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Time 2 Talk",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; 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.