Johanna Dawn Painter, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22002819A Issued in IN

Practice address

7782 W. State Rd 46
Greensburg, IN 47240

Phone

(812) 216-9067

Fax

(812) 933-9048

NPI assigned

Apr 20, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Johanna Dawn Frensemeier Former name

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": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415923200000",
    "number": "1508084237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7782 W. STATE RD 46",
            "city": "GREENSBURG",
            "state": "IN",
            "postal_code": "47240",
            "telephone_number": "812-216-9067",
            "fax_number": "812-933-9048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7782 W. STATE RD 46",
            "city": "GREENSBURG",
            "state": "IN",
            "postal_code": "47240",
            "telephone_number": "812-216-9067",
            "fax_number": "812-933-9048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAINTER",
        "first_name": "JOHANNA",
        "middle_name": "DAWN",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2014-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22002819",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22002819A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RENDERING PROVIDER NUMBER",
            "identifier": "200606120",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200705660A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHANNA",
            "last_name": "FRENSEMEIER",
            "middle_name": "DAWN",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heidi Michelle Nash-Kniffen, OTR
• David Anthony Noles, D.D.S.
• NPM MD Transitional Care, LLC
• Esughani Okonny
• Michelle L Owens, LCSW, MSW
• Evelyn T Panzer, ARNP
• Kiara Parker, RBT
• Ciara Paugh
• Timothy Michael Peklo, MD
• Amanda B Phillips, BCBA

• All providers in Greensburg, IN
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; 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.