Stacey Ann Johnson, MHS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2007016503 Issued in MO

Practice address

5016 S Cedar Crest Ave
Independence, MO 64055-6933

Phone

(312) 545-0383

NPI assigned

Jun 14, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1467656199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5016 S CEDAR CREST AVE",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556933",
            "telephone_number": "312-545-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5016 S CEDAR CREST AVE",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556933",
            "telephone_number": "312-545-0383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3101 Main St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641111921",
            "country_code": "US",
            "telephone_number": "816-756-0780 x2122",
            "fax_number": "816-756-1677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STACEY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MHS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.011918",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2007016503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Johnson, DPT
• Leigh Anne Johnson, LPC
• Meghan Kali Johnson, DC
• Michael Ryan Johnson, MPT
• Sherri Lynne Johnson, FNP-C
• Taylor Johnson, DC
• Whitney Ann Johnson
• Catherine Johnston
• Danielle Jokerst
• Rifka Joly

• Speech-Language Pathologist in Independence, MO
• Providers in Independence, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.