Nisha Engineer Johnson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

18739 Issued in CA

Practice address

115 Chesham Ave
San Carlos, CA 94070-2801

Phone

(650) 743-5872

NPI assigned

Apr 15, 2020

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• 2 Cheeky Monkeys Speech & Feeding a Professional Speech Therapy Corpor

  • Hearing and Speech Clinic/Center
  • San Carlos, CA
  • NPI 1497523542
  NPD Authorized official

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1508485905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CHESHAM AVE",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940702801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CHESHAM AVE",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940702801",
            "telephone_number": "650-743-5872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "NISHA",
        "middle_name": "ENGINEER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-15",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "18739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joe Gutierez Inc
• John Greggory Edwards
• Stephen Robert John, DDS
• Anthony H. Johnson
• Lisa Johnson, MS, CGC
• Allison Elizabeth Jones
• Christopher David Jones
• Deryk G Jones, MD
• Jandy Rebecca Jones, MFTI
• Wendy Jordan, M.ED.

• Speech-Language Pathologist in San Carlos, CA
• Providers in San Carlos, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; 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.