Shamiqua Johnson, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP008964 Issued in GA

Practice address

500 Sun Valley Dr
Roswell, GA 30076-1482

Phone

(347) 400-1772

NPI assigned

Nov 9, 2015

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)

Enrolled

State licenses

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.

• Speech Unlimited LLC

  • Speech-Language Pathologist
  • Roswell, GA
  • NPI 1073236170
  Authorized official Same address or phone

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1447623756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5756 GRANDE RIVER RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303499140",
            "telephone_number": "347-400-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SUN VALLEY DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761482",
            "telephone_number": "347-400-1772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "290 Highway 314",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "GA",
            "postal_code": "302147813",
            "country_code": "US",
            "telephone_number": "404-994-7727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHAMIQUA",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-09",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP008964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliette Isabella Johnson
• Karri Lynn Johnson, LPC
• Katherine Janelle Johnson
• Kay Louise Johnson, C.N.M
• Lauren Marie Johnson
• Shontequa Johnson
• Barbara Johnston
• Deborah A. Johnston, OT
• Aida I Joiner, M.D.
• Jonathan Woolfson, MD PC (Woolfson Eye Institute)

• Speech-Language Pathologist in Roswell, GA
• Providers in Roswell, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.