Individual provider Active NPI

Jessica Paige Johnson, SLP/A

  • Speech-Language Assistant
  • Douglas, WY
National Provider Identifier
1649917626
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SLPA-050 Issued in WY
Practice address
615 Hamilton St
Douglas, WY 82633-2615
Phone
(307) 358-2942
NPI assigned
May 19, 2022
Last updated
May 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SLPA-050 WY Primary

Addresses

Primary practice location

615 Hamilton St
Douglas, WY 82633-2615

Mailing address

615 Hamilton St
Douglas, WY 82633-2615

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jessicajohnson@ccsd1.org

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
SLPA-050WYMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Converse County School District #1 CurrentSince May 22, 2022 Accepting new patients

Locations

615 Hamilton St
Douglas, WY 82633
Phone (307) 358-2942

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1649917626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 HAMILTON ST",
            "city": "DOUGLAS",
            "state": "WY",
            "postal_code": "826332615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 HAMILTON ST",
            "city": "DOUGLAS",
            "state": "WY",
            "postal_code": "826332615",
            "telephone_number": "307-358-2942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JESSICA",
        "middle_name": "PAIGE",
        "credential": "SLP/A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "WY",
            "license": "SLPA-050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessicajohnson@ccsd1.org",
            "affiliation": "N",
            "address_1": "615 Hamilton St",
            "city": "Douglas",
            "state": "WY",
            "country_code": "US",
            "postal_code": "826332615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Douglas, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.