Olivia Johnson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

COND.20232482-SP Issued in OH

Practice address

5435 Kenwood Rd
Cincinnati, OH 45227-1328

Phone

(043) 651-3914

NPI assigned

Jul 12, 2023

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

Enrolled in OH

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.

• Buckeye Senior Rehab LLC

  • Physical Therapist
  • Dayton, OH
  • NPI 1265167233

  Speech-Language Pathologist

  Medicare reassignment NPD
• Buckeye Senior Rehab LLC

  • Physical Therapist
  • Lawton, MI
  • NPI 1316646730
  NPD

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1457030926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4585 NICHOLSON RD",
            "city": "CLARKSVILLE",
            "state": "OH",
            "postal_code": "451138666",
            "telephone_number": "513-967-0874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5435 KENWOOD RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452271328",
            "telephone_number": "043-651-3914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "OLIVIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "COND.20232482-SP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Lorraine Johnson, DC
• Nilaja Clay Johnson Jr.
• Noel Johnson
• Nolan Johnson, PA
• Nonnee Johnson
• Pamela Johnson
• Rachel S Johnson
• Rachel Sample Johnson, M.D.
• Rachelle Johnson, CDCA LSW
• Ravae Johnson

• Speech-Language Pathologist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.