Jennifer Johnson I

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6432 Issued in MA

Practice address

83 Pearl St
Hyannis, MA 02601-3922

Phone

(508) 775-6240

NPI assigned

Jun 11, 2008

Sex

Female

Sole proprietor

No

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

Enrolled in MA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2003

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fox Rehab Ma LLC

  • Physical Therapist
  • Waltham, MA
  • NPI 1497174437

  Speech-Language Pathologist

  Medicare reassignment NPD
• Cape Cod Child Development Program, Inc.

  • Voluntary or Charitable Agency
  • Hyannis, MA
  • NPI 1164581443
  NPD (past)

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1548420714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 OSTERVILLE WEST BARNSTABLE RD",
            "city": "MARSTONS MILLS",
            "state": "MA",
            "postal_code": "026481549",
            "telephone_number": "508-420-2272",
            "fax_number": "508-420-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 PEARL ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013922",
            "telephone_number": "508-775-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JENNIFER",
        "name_suffix": "I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-11",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "6432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey G. & Dania H. Latimer, PTR
• Xibei Jia, MD
• Daphne Jochnick, M.AC., L.AC.
• Carol J Johnson, PA
• Derek W. Johnson
• Katherine Johnson, PMH-NP
• Stephanie Ann Johnson
• Zena Johnson
• William G. Johnston Jr., M.D.
• Judith C. Jollett, NP

• Speech-Language Pathologist in Hyannis, MA
• Providers in Hyannis, MA by specialty
• Speech-Language Pathologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.