Brooke Johnson, MA CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2011027678 Issued in MO

Practice address

209 W College St
Farmington, MO 63640-2427

Phone

(573) 701-1370

NPI assigned

Jun 7, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Potosi R3 School District

  • Local Education Agency (LEA)
  • Potosi, MO
  • NPI 1366674731
  NPD (past)
• Potosi School District

  • Local Education Agency (LEA)
  • Potosi, MO
  • NPI 1235368002
  NPD (past)

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1609137413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W COLLEGE ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636402427",
            "telephone_number": "573-701-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W COLLEGE ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636402427",
            "telephone_number": "573-701-1370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 N Mine St",
            "address_purpose": "LOCATION",
            "city": "Potosi",
            "state": "MO",
            "postal_code": "636641734",
            "country_code": "US",
            "telephone_number": "573-438-2315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BROOKE",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-07",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2011027678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John P. Jackson D.D.S., P.C.
• John'S RX LTC Farmington, LLC
• Arial Johnson
• Ava Johnson, PLPC
• Brianna Chari Johnson, CSS
• Joyce Ann Johnson, PLPC
• Laura Michelle Johnson
• Marcela Johnson, MA
• Whitney Paige Johnson, DPT
• William D Johnson, M.D.

• Speech-Language Pathologist in Farmington, MO
• Providers in Farmington, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.