Sara C Johnson, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3922 Issued in NM

Practice address

500 Ownby St
Lordsburg, NM 88045

Phone

(505) 542-9364

NPI assigned

Apr 9, 2007

Last updated

May 18, 2018By the provider in NPPES

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

Other identifiers 1

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": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526601600000",
    "number": "1497878003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 HILLRISE CIR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114759",
            "telephone_number": "575-522-9500",
            "fax_number": "575-523-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 OWNBY ST",
            "city": "LORDSBURG",
            "state": "NM",
            "postal_code": "88045",
            "telephone_number": "505-542-9364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Ownby St",
            "address_purpose": "LOCATION",
            "city": "Lordsburg",
            "state": "NM",
            "postal_code": "880452233",
            "country_code": "US",
            "telephone_number": "505-542-9364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SARA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2018-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "3922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34837574",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hidalgo Medical Services
• Hidalgo Medical Services (HMS Lordsburg High School Health Center)
• Richard E. Howell III, D.D.S
• Iron Horse Enterprises (Medicine Shoppe Pharmacy)
• Alicia Jarrott
• Steven Cecil Jones, RPH
• Teressa M Koffler, SLP
• La Frontera Center, Inc. Dba la Frontera New Mexico, Inc.
• Annie Lee
• Leticia Guadalupe Lindsay, CSW

• Speech-Language Pathologist in Lordsburg, NM
• Providers in Lordsburg, NM by specialty
• Speech-Language Pathologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; 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.