Individual provider Active NPI

Sarah Rose Johny

  • Speech-Language Pathologist
  • Vancouver, WA
National Provider Identifier
1508408071
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
61330089 Issued in WA
Practice address
9414 NE Fourth PLN Rd
Vancouver, WA 98662-6109
Phone
(360) 892-5142
NPI assigned
Oct 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 61330089 WA Primary

Addresses

Primary practice location

9414 NE Fourth PLN Rd
Vancouver, WA 98662-6109

Mailing address

9414 NE Fourth PLN Rd
Vancouver, WA 98662-6109
Phone (360) 892-5142

Other practice location 1

1800 NW 169th Pl Ste B100
Beaverton, OR 97006-7362
Phone (503) 350-7050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
61330089WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Play Connections Autism Services PastSince Oct 1, 2019 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1508408071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9414 NE FOURTH PLN RD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626109",
            "telephone_number": "360-892-5142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9414 NE FOURTH PLN RD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626109",
            "telephone_number": "360-892-5142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 NW 169th Pl Ste B100",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970067362",
            "country_code": "US",
            "telephone_number": "503-350-7050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNY",
        "first_name": "SARAH",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "61330089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.