Rahn A Johnson, SLPA
Individual provider Active NPI Speech-Language Assistant · Vail, AZ
NPI 1619603479 · NPPES record last updated Jul 25, 2022
Key facts
- NPI
- 1619603479
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Assistant 2355S0801X
- License
- SLPA14007 (AZ)
- Practice address
- 12984 E Wild Horse Corral Dr
Vail, AZ 85641-2537 - Phone
- (520) 222-4239
- NPI assigned
- Jul 25, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLPA14007 | AZ | MD | Speech-Language Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | SLPA14007 | AZ | Yes |
Addresses
Primary practice location
12984 E Wild Horse Corral Dr
Vail, AZ 85641-2537
Mailing address
12984 E Wild Horse Corral Dr
Vail, AZ 85641-2537
Phone (520) 222-4239
Other providers in Vail, AZ
- Lauren M Impraim
- Hannah Irving
- Teresa Iuro
- Hector Alberto Jeffrey
- Ana Gabriela Johnson
- Navin Kedia
- John Carrick Kennedy
- Shannon Kennedy
- Diane Christine Kent
- Tiffany Kern
All providers in Vail, AZ · Speech-Language Assistant in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.